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1265923478
JAMES AUGUSTUS
MODESTO, CA
NPI
1265923478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 18-54036)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
JAMES AUGUSTUS
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
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Mailing Address
JAMES AUGUSTUS
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
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