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1487290649
TIMOTHY BRYCE SAMSON
VISTA, CA
NPI
1487290649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-22
Last Update Date
2023-03-22
Business Address
TIMOTHY BRYCE SAMSON
1926 VIA CTR STE B
VISTA, CA 92081-6056
Phone number: 949-474-1493
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Mailing Address
TIMOTHY BRYCE SAMSON
3652 MICHELSON DR
IRVINE, CA 92612-1727
Phone number: 949-474-1493
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