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1689152944
TIFFANY LACKEY
MODESTO, CA
NPI
1689152944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-07-30
Last Update Date
2019-02-26
Business Address
TIFFANY LACKEY
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-579-9444
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Mailing Address
TIFFANY LACKEY
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 209-579-9444
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