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1396258307
LAKEISHA LASHAE MCCULLOUGH
SACRAMENTO, CA
NPI
1396258307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
LAKEISHA LASHAE MCCULLOUGH
630 BERCUT DR STE C
SACRAMENTO, CA 95811-0110
Phone number: 916-441-3819
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Mailing Address
LAKEISHA LASHAE MCCULLOUGH
630 BERCUT DR STE C
SACRAMENTO, CA 95811-0110
Phone number:
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