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1447012398
MICHAEL ELIJAH DORATT
FULLERTON, CA
NPI
1447012398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
MICHAEL ELIJAH DORATT
713 W COMMONWEALTH AVE STE C
FULLERTON, CA 92832-1612
Phone number: 714-879-4274
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Mailing Address
MICHAEL ELIJAH DORATT
410 W IMPERIAL HWY APT 207
BREA, CA 92821-4820
Phone number: 949-289-7210
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