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1730878976
LATANYA LACKS
MONROVIA, CA
NPI
1730878976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
LATANYA LACKS
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
LATANYA LACKS
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 475-355-1261
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