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1124632195
SAMUEL IGBAFE
LAKEWOOD, NJ
NPI
1124632195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA RBT-20-123715)
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
SAMUEL IGBAFE
685 RIVER AVE
LAKEWOOD, NJ 08701-5288
Phone number: 888-400-7342
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Mailing Address
SAMUEL IGBAFE
4292 MARLY GARDEN LN APT 404
FAIRFAX, VA 22033-6409
Phone number: 804-300-7923
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