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1871069401
EBONY LEWIS
PETALUMA, CA
NPI
1871069401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
Miss EBONY LEWIS Associates
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
Miss EBONY LEWIS Associates
PO BOX 5034
OAKLAND, CA 94605-0034
Phone number: 510-575-8652
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