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1356067227
JALEA LANAE LOGAN
OCEANSIDE, CA
NPI
1356067227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA Y5107878)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
JALEA LANAE LOGAN
3503 SPRUCE CT
OCEANSIDE, CA 92058-1616
Phone number: 760-509-5273
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Mailing Address
JALEA LANAE LOGAN
3503 SPRUCE CT
OCEANSIDE, CA 92058-1616
Phone number: 760-509-5273
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