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1164980165
CARLTON FORTENBERRY
LONG BEACH, CA
NPI
1164980165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-08
Last Update Date
2019-03-08
Business Address
CARLTON FORTENBERRY
775 OBISPO AVE. UNIT 1
LONG BEACH, CA 90804
Phone number: 858-336-8636
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Mailing Address
CARLTON FORTENBERRY
775 OBISPO AVE. UNIT 1
LONG BEACH, CA 90804
Phone number: 858-336-8636
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