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1730897349
KRISTEN MARIE BLACK
ROCKLIN, CA
NPI
1730897349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
KRISTEN MARIE BLACK
6960 DESTINY DR STE 112
ROCKLIN, CA 95677-2995
Phone number: 916-824-3220
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Mailing Address
KRISTEN MARIE BLACK
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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