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1427556208
REGINA MANCILLAS
ELK GROVE, CA
NPI
1427556208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 17-32253)
Enumeration Date
2018-01-26
Last Update Date
2018-01-26
Business Address
REGINA MANCILLAS
7801 LAGUNA BLVD STE 100
ELK GROVE, CA 95758-7954
Phone number: 209-572-2589
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Mailing Address
REGINA MANCILLAS
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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