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1336639012
CAMILLE WALLACE
SAN LEANDRO, CA
NPI
1336639012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-20-46247)
Enumeration Date
2018-05-17
Last Update Date
2024-10-07
Business Address
CAMILLE WALLACE RBT
2104 MIRAMONTE AVE APT 9
SAN LEANDRO, CA 94578-1549
Phone number: 510-298-8463
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Mailing Address
CAMILLE WALLACE RBT
2104 MIRAMONTE AVE APT 9
SAN LEANDRO, CA 94578-1549
Phone number: 510-298-8463
Copy
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