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1265007181
SHAWN DALE
VICTORVILLE, CA
NPI
1265007181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
SHAWN DALE
15490 CIVIC DR STE 103
VICTORVILLE, CA 92392-2382
Phone number: 442-327-9172
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Mailing Address
SHAWN DALE
16669 S D ST SPC 9
VICTORVILLE, CA 92395-3144
Phone number:
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