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1427635028
INGRID LORRAINE MACK
EL DORADO HILLS, CA
NPI
1427635028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-28
Last Update Date
2021-03-28
Business Address
Ms. INGRID LORRAINE MACK
877 EMBARCADERO DR STE 1
EL DORADO HILLS, CA 95762-1400
Phone number: 916-693-6469
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Mailing Address
Ms. INGRID LORRAINE MACK
5938 BEECH AVE
ORANGEVALE, CA 95662-4541
Phone number: 916-945-0511
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