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1801405790
CONNOR SHADE
SANTA CRUZ, CA
NPI
1801405790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-27
Last Update Date
2021-06-23
Business Address
CONNOR SHADE
749 37TH AVE
SANTA CRUZ, CA 95062-5124
Phone number: 844-322-7483
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Mailing Address
CONNOR SHADE
749 37TH AVE
SANTA CRUZ, CA 95062-5124
Phone number: 844-322-7483
Copy
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