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1124691548
JUSTIN FANGRAT
BURBANK, CA
NPI
1124691548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
JUSTIN FANGRAT
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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Mailing Address
JUSTIN FANGRAT
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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