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1750998613
JACOB LUKE JOHNSON
COSTA MESA, CA
NPI
1750998613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
JACOB LUKE JOHNSON
1520 NUTMEG PL STE 110
COSTA MESA, CA 92626-2557
Phone number: 818-241-6780
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Mailing Address
JACOB LUKE JOHNSON
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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