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1205691185
BRYAN EVANS JOHNSON
NAMPA, ID
NPI
1205691185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
BRYAN EVANS JOHNSON RBT
3612 JUANITA WAY
NAMPA, ID 83686-8279
Phone number: 208-949-5169
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Mailing Address
BRYAN EVANS JOHNSON RBT
3612 JUANITA WAY
NAMPA, ID 83686-8279
Phone number: 208-949-5169
Copy
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