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1972145738
NICKOLE IVASHENKO
SACRAMENTO, CA
NPI
1972145738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
NICKOLE IVASHENKO
1901 ROYAL OAKS DR STE 201
SACRAMENTO, CA 95815-4235
Phone number: 916-923-1789
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Mailing Address
NICKOLE IVASHENKO
1901 ROYAL OAKS DR STE 201
SACRAMENTO, CA 95815-4235
Phone number: 916-923-1789
Copy
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