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1295239390
GEORGE KENYON SHABAZZ
SACRAMENTO, CA
NPI
1295239390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
GEORGE KENYON SHABAZZ
1325 HOWE AVE
SACRAMENTO, CA 95825-3364
Phone number: 916-676-0488
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Mailing Address
GEORGE KENYON SHABAZZ
8000 GOLDEN RING WAY
ANTELOPE, CA 95843-6125
Phone number:
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