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1851140677
MICHAEL D PROTACK
NEWPORT BEACH, CA
NPI
1851140677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
MICHAEL D PROTACK
4695 MACARTHUR CT STE 1100
NEWPORT BEACH, CA 92660-1866
Phone number: 877-418-2978
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Mailing Address
MICHAEL D PROTACK
PO BOX 112
SEAL BEACH, CA 90740-0112
Phone number: 302-690-8872
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