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1740747377
JERRY WARDELL CHANEY
SAN DIEGO, CA
NPI
1740747377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-19-80026)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
JERRY WARDELL CHANEY
3731 6TH AVE STE 100
SAN DIEGO, CA 92103-4383
Phone number: 855-223-7123
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Mailing Address
JERRY WARDELL CHANEY
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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