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1487288627
TYSHAWN ANTHONY SMITH
FRESNO, CA
NPI
1487288627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
TYSHAWN ANTHONY SMITH
2505 W SHAW AVE STE 2
FRESNO, CA 93711-3334
Phone number: 559-241-7233
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Mailing Address
TYSHAWN ANTHONY SMITH
473 E HAZELWOOD DR
LEMOORE, CA 93245-2432
Phone number: 559-817-2532
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