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1780330332
NICHOLAS JACK HANSEN
SAN DIEGO, CA
NPI
1780330332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
NICHOLAS JACK HANSEN
11650 IBERIA PL
SAN DIEGO, CA 92128-2406
Phone number: 925-338-4477
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Mailing Address
NICHOLAS JACK HANSEN
5555 DOROTHY DR
SAN DIEGO, CA 92115-2302
Phone number: 925-338-4477
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