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1821599697
RAPHAEL LUCIEN CARPENTER
CITRUS HEIGHTS, CA
NPI
1821599697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
Mr. RAPHAEL LUCIEN CARPENTER
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
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Mailing Address
Mr. RAPHAEL LUCIEN CARPENTER
5151 ARDEN WAY APT 13
CARMICHAEL, CA 95608-6059
Phone number: 916-757-4277
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