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1588123566
TRACY FERNANDA COOK
VISALIA, CA
NPI
1588123566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 106S00000x)
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
Ms. TRACY FERNANDA COOK
5415 AVENIDA DE LOS ROBLES STE 102
VISALIA, CA 93291-5369
Phone number: 818-235-1414
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Mailing Address
Ms. TRACY FERNANDA COOK
7226 SEPULVEDA BLVD
VAN NUYS, CA 91405-2003
Phone number: 818-235-1414
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