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1619710605
ISAAC EVANGELISTA
PORTAGE, MI
NPI
1619710605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
ISAAC EVANGELISTA
7895 CURRIER DR
PORTAGE, MI 49002-4314
Phone number: 866-727-8274
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Mailing Address
ISAAC EVANGELISTA
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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