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1164922183
LOGAN MYLES DAVIS
SANTA ANA, CA
NPI
1164922183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
LOGAN MYLES DAVIS
3710 S SUSAN ST STE 150
SANTA ANA, CA 92704-6921
Phone number: 657-245-0220
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Mailing Address
LOGAN MYLES DAVIS
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number:
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