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1558003400
SPARKLE TYSON
EL DORADO HILLS, CA
NPI
1558003400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
SPARKLE TYSON
5170 GOLDEN FOOTHILL PKWY # 143
EL DORADO HILLS, CA 95762-9608
Phone number: 916-280-1351
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Mailing Address
SPARKLE TYSON
5170 GOLDEN FOOTHILL PKWY # 143
EL DORADO HILLS, CA 95762-9608
Phone number: 916-280-1351
Copy
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