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1568146223
ANGEL BASCOMB
STERLING HEIGHTS, MI
NPI
1568146223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
ANGEL BASCOMB
34475 MOUND RD
STERLING HEIGHTS, MI 48310-5761
Phone number: 844-263-1613
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Mailing Address
ANGEL BASCOMB
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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