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1437635471
MICHELLE SLACK
SAN DIEGO, CA
NPI
1437635471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA BACB324163)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
MICHELLE SLACK
605 59TH ST APT B
SAN DIEGO, CA 92114-2318
Phone number: 619-379-8623
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Mailing Address
MICHELLE SLACK
605 59TH ST APT B
SAN DIEGO, CA 92114-2318
Phone number: 619-379-8623
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