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1033602032
JERMAINE POWELL
SANTA MARIA, CA
NPI
1033602032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
JERMAINE POWELL
1112 S BROADWAY
SANTA MARIA, CA 93454-6608
Phone number: 805-979-9941
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Mailing Address
JERMAINE POWELL
1112 S BROADWAY
SANTA MARIA, CA 93454-6608
Phone number:
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