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1407322019
TATSUYA HERLAMBANG
PORTLAND, OR
NPI
1407322019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR A128702)
Enumeration Date
2018-10-22
Last Update Date
2022-12-12
Business Address
TATSUYA HERLAMBANG
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 866-523-4268
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Mailing Address
TATSUYA HERLAMBANG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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