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1497468409
SHANE HENRY
MONROVIA, CA
NPI
1497468409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
SHANE HENRY
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
SHANE HENRY
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 503-740-9446
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