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1144091638
RUSSELL GENE HORTON
LANCASTER, CA
NPI
1144091638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA R1519810823)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
RUSSELL GENE HORTON
45444 STANRIDGE AVE
LANCASTER, CA 93535-1816
Phone number: 661-582-2362
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Mailing Address
RUSSELL GENE HORTON
45444 STANRIDGE AVE
LANCASTER, CA 93535-1816
Phone number: 661-582-2362
Copy
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