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1164171203
JAYLEN LANGE
MONROVIA, CA
NPI
1164171203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
JAYLEN LANGE
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
JAYLEN LANGE
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 619-315-8918
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