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1952931701
LACY RENEE PRIDEMORE
EL CAJON, CA
NPI
1952931701
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Former Name
LACY RENEE FUENTES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-01-21
Last Update Date
2020-01-21
Business Address
Ms. LACY RENEE PRIDEMORE
321 VAN HOUTEN AVE
EL CAJON, CA 92020-5128
Phone number: 619-383-0704
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Mailing Address
Ms. LACY RENEE PRIDEMORE
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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