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1790508257
ALEXANDER WASSOM
OKEMOS, MI
NPI
1790508257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
ALEXANDER WASSOM
2248 MOUNT HOPE RD
OKEMOS, MI 48864-2570
Phone number: 866-727-8274
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Mailing Address
ALEXANDER WASSOM
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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