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1336847938
EDWARD T BLAKEMORE
BATON ROUGE, LA
NPI
1336847938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 011959193)
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
EDWARD T BLAKEMORE
7932 SUMMA AVE
BATON ROUGE, LA 70809-3736
Phone number: 225-349-7171
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Mailing Address
EDWARD T BLAKEMORE
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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