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1588256440
SHANICE J VIGILANT
RIVERSIDE, CA
NPI
1588256440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
SHANICE J VIGILANT
14427 MERIDIAN PKWY # 7E
RIVERSIDE, CA 92518-3014
Phone number: 855-581-0100
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Mailing Address
SHANICE J VIGILANT
2080 N TUSTIN AVE STE B
SANTA ANA, CA 92705-7875
Phone number: 855-581-0100
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