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1164275954
DAVID ANDREW BLACKWOOD
IRVINE, CA
NPI
1164275954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
DAVID ANDREW BLACKWOOD
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-550-6368
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Mailing Address
DAVID ANDREW BLACKWOOD
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number:
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