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1487411609
PHILLIP WADE PRATER
CONCORD, CA
NPI
1487411609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
PHILLIP WADE PRATER
1855 2ND ST STE B
CONCORD, CA 94519-2623
Phone number: 855-223-7123
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Mailing Address
PHILLIP WADE PRATER
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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