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1134784499
DARRYL L. LEWIS
PETALUMA, CA
NPI
1134784499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
DARRYL L. LEWIS
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
DARRYL L. LEWIS
1180 53RD ST UPPR REAR
EMERYVILLE, CA 94608-2925
Phone number: 415-852-1487
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