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1194316885
LAHORE KHAN MANGAL
VIENNA, VA
NPI
1194316885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA RBT-20-136359)
Enumeration Date
2021-01-27
Last Update Date
2024-08-06
Business Address
Mr. LAHORE KHAN MANGAL RBT
1964 GALLOWS RD STE 302
VIENNA, VA 22182-3814
Phone number: 703-508-6162
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Mailing Address
Mr. LAHORE KHAN MANGAL RBT
12265 AZTEC PL
WOODBRIDGE, VA 22192-1817
Phone number: 540-764-8227
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