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1467916908
CARRIE LEE BASHAM
PETALUMA, CA
NPI
1467916908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
CARRIE LEE BASHAM
101 H ST
PETALUMA, CA 94952-5152
Phone number: 866-206-2008
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Mailing Address
CARRIE LEE BASHAM
101 H ST
PETALUMA, CA 94952-5152
Phone number: 866-206-2008
Copy
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