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1770212755
KENNETH ANTHONY LOGAN
SACRAMENTO, CA
NPI
1770212755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-06
Last Update Date
2022-06-10
Business Address
KENNETH ANTHONY LOGAN
8950 CAL CENTER DR STE 137
SACRAMENTO, CA 95826-3236
Phone number: 866-523-4268
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Mailing Address
KENNETH ANTHONY LOGAN
DEPT LA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268
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