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1366090623
LUCAS WILLIAM MITCHELL
RANCHO CUCAMONGA, CA
NPI
1366090623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
LUCAS WILLIAM MITCHELL
9333 BASELINE RD STE 290
RANCHO CUCAMONGA, CA 91730-1300
Phone number: 909-681-2432
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Mailing Address
LUCAS WILLIAM MITCHELL
16282 UPLAND AVE
FONTANA, CA 92335-3381
Phone number: 909-401-1135
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