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1316553621
ISAIAH JALEN DAVENPORT
ELK GROVE, CA
NPI
1316553621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
ISAIAH JALEN DAVENPORT
9701 DINO DR STE 170
ELK GROVE, CA 95624-4042
Phone number: 818-345-2345
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Mailing Address
ISAIAH JALEN DAVENPORT
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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