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1780140004
SUSANNA LEGORRETA
PETALUMA, CA
NPI
1780140004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
SUSANNA LEGORRETA
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
SUSANNA LEGORRETA
534 LORRAINE CT S
ROHNERT PARK, CA 94928-4643
Phone number: 707-548-8189
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