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1649779265
MATTHEW LOGAN TYSON
CHULA VISTA, CA
NPI
1649779265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-09
Last Update Date
2018-03-17
Business Address
MATTHEW LOGAN TYSON
891 KUHN DR
CHULA VISTA, CA 91914-3551
Phone number: 619-864-7070
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Mailing Address
MATTHEW LOGAN TYSON
21600 OXNARD ST STE 1800W
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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