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1023732575
BLAKE MANHART
TEMECULA, CA
NPI
1023732575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
BLAKE MANHART
44065 MARGARITA RD
TEMECULA, CA 92592-2741
Phone number: 866-727-8274
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Mailing Address
BLAKE MANHART
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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