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1962104802
SHANTELLE VINA WILLIAMS
GONZALES, LA
NPI
1962104802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 008423197)
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
SHANTELLE VINA WILLIAMS
1028 E WORTHY ST
GONZALES, LA 70737-4367
Phone number: 504-399-9851
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Mailing Address
SHANTELLE VINA WILLIAMS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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