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1831609221
STACEY ANN MOOTE
SACRAMENTO, CA
NPI
1831609221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
STACEY ANN MOOTE
8795 LA RIVIERA DR 169 169
SACRAMENTO, CA 95826
Phone number: 916-607-1373
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Mailing Address
STACEY ANN MOOTE
1337 HOWE AVE
SACRAMENTO, CA 95825-3361
Phone number: 916-654-5010
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