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1861233975
LILA WALLACE
SAN DIEGO, CA
NPI
1861233975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
LILA WALLACE
3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108-1738
Phone number: 760-815-9536
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Mailing Address
LILA WALLACE
3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108-1738
Phone number: 760-815-9536
Copy
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