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1376206045
KATIE PAULISSIAN
MODESTO, CA
NPI
1376206045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-10-19
Last Update Date
2022-11-22
Business Address
KATIE PAULISSIAN
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-523-4573
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Mailing Address
KATIE PAULISSIAN
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 092-523-4573
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