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1447981568
ANTON DEMETRIUS BROOKIN
DECATUR, GA
NPI
1447981568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
ANTON DEMETRIUS BROOKIN
2711 IRVIN WAY STE 201
DECATUR, GA 30030-1724
Phone number: 866-523-4268
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Mailing Address
ANTON DEMETRIUS BROOKIN
DEPTLA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268
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