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1104313154
IRVING PRESTON PHELPS
WOODLAND HILLS, CA
NPI
1104313154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 28316179)
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
IRVING PRESTON PHELPS
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-235-2345
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Mailing Address
IRVING PRESTON PHELPS
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-235-2345
Copy
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