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1255989299
EDDIE LUIS LAVANA
SALEM, OR
NPI
1255989299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
EDDIE LUIS LAVANA
3494 LIBERTY RD S
SALEM, OR 97302-4607
Phone number: 971-304-0660
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Mailing Address
EDDIE LUIS LAVANA
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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