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1578283909
SPARK DARCEL GUY
LANCASTER, CA
NPI
1578283909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
SPARK DARCEL GUY
1216 W AVENUE J STE 100
LANCASTER, CA 93534-2944
Phone number: 818-235-1414
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Mailing Address
SPARK DARCEL GUY
1216 W AVENUE J STE 100
LANCASTER, CA 93534-2944
Phone number: 818-235-1414
Copy
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