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1063051126
SAMUEL TRAVIS
CITRUS HEIGHTS, CA
NPI
1063051126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
SAMUEL TRAVIS
5620 BIRDCAGE ST
CITRUS HEIGHTS, CA 95610-7632
Phone number: 510-520-7768
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Mailing Address
SAMUEL TRAVIS
3425 COFFEE RD STE C2
MODESTO, CA 95355-1582
Phone number:
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