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1184381147
GREGORY JOHNNY HARRELL
TARZANA, CA
NPI
1184381147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN RBT-19-94006)
Enumeration Date
2021-11-23
Last Update Date
2021-12-08
Business Address
GREGORY JOHNNY HARRELL
5554 RESEDA BLVD STE 203
TARZANA, CA 91356-6212
Phone number: 818-705-5522
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Mailing Address
GREGORY JOHNNY HARRELL
5554 RESEDA BLVD STE 203
TARZANA, CA 91356-6212
Phone number: 818-705-5522
Copy
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