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1295511780
OSIRIS BOSEMAN
UPLAND, CA
NPI
1295511780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
OSIRIS BOSEMAN
2028 W 11TH ST
UPLAND, CA 91786-3509
Phone number: 888-515-1793
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Mailing Address
OSIRIS BOSEMAN
2028 W 11TH ST
UPLAND, CA 91786-3509
Phone number:
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