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1720580152
LARISSA DEWANTE
SACRAMENTO, CA
NPI
1720580152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
LARISSA DEWANTE
9755 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3334
Phone number: 916-363-6103
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Mailing Address
LARISSA DEWANTE
9755 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3334
Phone number: 916-363-6103
Copy
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