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1336791060
DOMINIQUE JANETTE LAKE
CITRUS HEIGHTS, CA
NPI
1336791060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
DOMINIQUE JANETTE LAKE
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
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Mailing Address
DOMINIQUE JANETTE LAKE
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
Copy
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