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1578344503
JEFF VAN AUSDALL
REDDING, CA
NPI
1578344503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
JEFF VAN AUSDALL
1969 BUTTERCUP LN
REDDING, CA 96002-4055
Phone number: 530-710-4047
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Mailing Address
JEFF VAN AUSDALL
1969 BUTTERCUP LN
REDDING, CA 96002-4055
Phone number: 530-710-4047
Copy
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