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1093414419
DEREK TANN
TORRANCE, CA
NPI
1093414419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
DEREK TANN
23842 HAWTHORNE BLVD
TORRANCE, CA 90505-5929
Phone number: 424-999-2990
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Mailing Address
DEREK TANN
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number:
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