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1154191096
ROBERT SHANE FORD
TORRANCE, CA
NPI
1154191096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
ROBERT SHANE FORD
21515 HAWTHORNE BLVD STE GL-100
TORRANCE, CA 90503-6501
Phone number: 408-455-9095
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Mailing Address
ROBERT SHANE FORD
21515 HAWTHORNE BLVD STE GL-100
TORRANCE, CA 90503-6501
Phone number:
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