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1528843455
LAURA LUSA JACK
ELK GROVE, CA
NPI
1528843455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
LAURA LUSA JACK
9412 BIG HORN BLVD
ELK GROVE, CA 95758-1101
Phone number: 916-684-6515
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Mailing Address
LAURA LUSA JACK
4540 HARLIN DR
SACRAMENTO, CA 95826-9716
Phone number: 916-364-7800
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