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1326829698
MICAH LEE
VICTORVILLE, CA
NPI
1326829698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-11
Last Update Date
2023-10-11
Business Address
MICAH LEE
15490 CIVIC DR STE 208
VICTORVILLE, CA 92392-2924
Phone number: 442-327-9172
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Mailing Address
MICAH LEE
1566 MASSARO LN
SAN BERNARDINO, CA 92411-1670
Phone number:
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