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1215683313
CHARLES EDWARD TERRY
FAIRPORT, NY
NPI
1215683313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
CHARLES EDWARD TERRY
6 N MAIN ST STE 110
FAIRPORT, NY 14450-1581
Phone number: 585-377-6590
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Mailing Address
CHARLES EDWARD TERRY
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2346
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