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1801360409
JALAN T BRIMHALL
PHOENIX, AZ
NPI
1801360409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-19-75773)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
JALAN T BRIMHALL
20860 N TATUM BLVD
PHOENIX, AZ 85050-4274
Phone number: 866-342-8847
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Mailing Address
JALAN T BRIMHALL
128 N WILBUR
MESA, AZ 85201-6736
Phone number: 928-457-7481
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