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1740744218
JULISSA PLASCENCIA MAGANA
LODI, CA
NPI
1740744218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-29
Last Update Date
2023-07-11
Business Address
JULISSA PLASCENCIA MAGANA
13042 N JACK TONE RD
LODI, CA 95240-9736
Phone number: 209-747-7800
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Mailing Address
JULISSA PLASCENCIA MAGANA
3425 COFFEE RD STE CA
MODESTO, CA 95355-1582
Phone number: 209-521-4791
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