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1992280515
MARIAH LYNNETTE BRISCO
FAIRFIELD, CA
NPI
1992280515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-09-28
Last Update Date
2018-11-07
Business Address
MARIAH LYNNETTE BRISCO
744 EMPIRE ST # 160
FAIRFIELD, CA 94533-5562
Phone number: 707-399-9413
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Mailing Address
MARIAH LYNNETTE BRISCO
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598-2538
Phone number:
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