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1205654084
ETHANIEL JAMES WELCH
GRANITE BAY, CA
NPI
1205654084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
ETHANIEL JAMES WELCH
4196 DOUGLAS BLVD STE 100
GRANITE BAY, CA 95746-5904
Phone number: 916-489-1376
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Mailing Address
ETHANIEL JAMES WELCH
7500 SAN FELIPE ST, SUITE 990
HOUSTON, TX 77063-1708
Phone number: 866-610-0580
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