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1326606005
JOSHUA SLACK
VISALIA, CA
NPI
1326606005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA F2879870)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
JOSHUA SLACK
1730 W WALNUT AVE UNIT A
VISALIA, CA 93277-6223
Phone number: 559-825-8455
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Mailing Address
JOSHUA SLACK
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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