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1740853241
LEAH JADE SHACKELFORD
SAN BERNARDINO, CA
NPI
1740853241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
LEAH JADE SHACKELFORD
732 CARNEGIE DR STE 100
SAN BERNARDINO, CA 92408-3589
Phone number: 909-756-8887
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Mailing Address
LEAH JADE SHACKELFORD
732 CARNEGIE DR STE 100
SAN BERNARDINO, CA 92408-3589
Phone number: 909-756-8887
Copy
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