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1952983512
SHONTAYA JO'NETTE CLARK
ROSEVILLE, CA
NPI
1952983512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
Ms. SHONTAYA JO'NETTE CLARK
120 ASCOT DR STE D
ROSEVILLE, CA 95661-3400
Phone number: 916-787-1100
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Mailing Address
Ms. SHONTAYA JO'NETTE CLARK
120 ASCOT DR STE D
ROSEVILLE, CA 95661-3400
Phone number: 916-787-1100
Copy
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