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1013592401
JIMMY TRAN
THOUSAND OAKS, CA
NPI
1013592401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 19102247)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
JIMMY TRAN
3255 OLD CONEJO RD STE 202
THOUSAND OAKS, CA 91320-2153
Phone number: 805-254-6249
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Mailing Address
JIMMY TRAN
3255 OLD CONEJO RD STE 202
THOUSAND OAKS, CA 91320-2153
Phone number: 805-254-6249
Copy
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