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1487140612
JACQUELYN ROSE WILLIS
BAKERSFIELD, CA
NPI
1487140612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
JACQUELYN ROSE WILLIS
5300 LENNOX AVE STE 100
BAKERSFIELD, CA 93309-1662
Phone number: 661-321-9700
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Mailing Address
JACQUELYN ROSE WILLIS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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