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1841058724
TIM WAYNE SANFORD
COVINA, CA
NPI
1841058724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-06
Last Update Date
2024-06-03
Business Address
TIM WAYNE SANFORD
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 626-339-4999
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Mailing Address
TIM WAYNE SANFORD
4401 CRENSHAW BLVD STE 215
LOS ANGELES, CA 90043-1200
Phone number: 323-291-7100
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