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1548740830
LATISHA KOLAH MABULLU
CONCORD, CA
NPI
1548740830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-16
Last Update Date
2020-01-23
Business Address
LATISHA KOLAH MABULLU
1855 2ND ST STE B
CONCORD, CA 94519-2623
Phone number: 925-239-9640
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Mailing Address
LATISHA KOLAH MABULLU
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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