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1740726454
JIMMY BRIAN SAMBULA
ATLANTA, GA
NPI
1740726454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- JIMMY BRIAN SAMBULA
1017 FAYETTEVILLE RD. SE
ATLANTA, GA 30316
Phone number: 404-486-9034
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Mailing Address
-- JIMMY BRIAN SAMBULA
340 PECAN WOOD CIRCLE
FAIRBURN, GA 30213
Phone number: 770-895-1313
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