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1558968305
JACK PANTING
EUREKA, CA
NPI
1558968305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
JACK PANTING
917 3RD ST
EUREKA, CA 95501-0513
Phone number: 808-805-0759
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Mailing Address
JACK PANTING
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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