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1861995292
LISA THOMASSEN
TRACY, CA
NPI
1861995292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 17-34652)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
LISA THOMASSEN
510 WHISPERING WIND DR STE 110
TRACY, CA 95377-8119
Phone number: 209-572-2589
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Mailing Address
LISA THOMASSEN
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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