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1588491948
LATISHA BLACKMON
CANOGA PARK, CA
NPI
1588491948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
LATISHA BLACKMON
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303-4056
Phone number: 888-428-3223
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Mailing Address
LATISHA BLACKMON
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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