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1912518895
COURTNEY IDE
ELK GROVE, CA
NPI
1912518895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
Ms. COURTNEY IDE
9701 DINO DR STE 170
ELK GROVE, CA 95624-4042
Phone number: 916-892-0013
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Mailing Address
Ms. COURTNEY IDE
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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