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1033649942
BYRON D SAMUEL
TEMECULA, CA
NPI
1033649942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2017-06-13
Last Update Date
2023-02-07
Business Address
BYRON D SAMUEL
41769 ENTERPRISE CIR N
TEMECULA, CA 92590-5626
Phone number: 951-303-8255
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Mailing Address
BYRON D SAMUEL
15141 WAVECREST DR
LAKE ELSINORE, CA 92530-5391
Phone number: 951-564-7287
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