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1629643796
KAILYN MARIE LASALLE
MORENO VALLEY, CA
NPI
1629643796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-05-21
Last Update Date
2021-09-23
Business Address
KAILYN MARIE LASALLE NONE
22445 ALESSANDRO BLVD
MORENO VALLEY, CA 92553-8358
Phone number: 951-924-9791
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Mailing Address
KAILYN MARIE LASALLE NONE
26765 GREEN MOUNTAIN DR.
MORENO VALLEY, CA 92555
Phone number: 951-229-9081
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