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1184357014
SAMUEL LYSAGHT
EMERYVILLE, CA
NPI
1184357014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
SAMUEL LYSAGHT
2354 POWELL ST STE A
EMERYVILLE, CA 94608-1738
Phone number: 877-242-2884
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Mailing Address
SAMUEL LYSAGHT
2354 POWELL ST STE A
EMERYVILLE, CA 94608-1738
Phone number:
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