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1396214177
STEVEN LEE JOHNSRUDE
SAN BRUNO, CA
NPI
1396214177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-21
Last Update Date
2020-06-23
Business Address
STEVEN LEE JOHNSRUDE
1001 SNEATH LN STE 200
SAN BRUNO, CA 94066-2349
Phone number: 408-771-4589
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Mailing Address
STEVEN LEE JOHNSRUDE
2546 45TH AVE
SAN FRANCISCO, CA 94116-2643
Phone number: 408-771-4589
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