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1366007403
CHARLES BERNARD LEWIS
SAN DIEGO, CA
NPI
1366007403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-03
Last Update Date
2019-05-03
Business Address
CHARLES BERNARD LEWIS
5755 OBERLIN DR STE 300
SAN DIEGO, CA 92121-4717
Phone number: 800-249-1266
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Mailing Address
CHARLES BERNARD LEWIS
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266
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