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1558849901
SHANETTA VAN
OAKLAND, CA
NPI
1558849901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-07-29
Last Update Date
2018-07-29
Business Address
SHANETTA VAN
638 21ST ST
OAKLAND, CA 94612-1793
Phone number: 000-000-0000
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Mailing Address
SHANETTA VAN
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
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