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1265992879
CHARLES RUSSEL HOMER
WEST PALM BEACH, FL
NPI
1265992879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-19-79673)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
CHARLES RUSSEL HOMER RBT
1340 KENWOOD RD
WEST PALM BEACH, FL 33401-7408
Phone number: 561-932-3938
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Mailing Address
CHARLES RUSSEL HOMER RBT
1340 KENWOOD RD
WEST PALM BEACH, FL 33401-7408
Phone number: 561-932-3938
Copy
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