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1376181826
PRYNCESTON FANT
GONZALES, LA
NPI
1376181826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-12-16
Last Update Date
2021-12-05
Business Address
PRYNCESTON FANT
1028 E WORTHY ST
GONZALES, LA 70737-4367
Phone number: 760-974-6625
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Mailing Address
PRYNCESTON FANT
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number:
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