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1871069690
DAVID LARKIN BLANKENBAKER
SANTA ROSA, CA
NPI
1871069690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-18-66215)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
DAVID LARKIN BLANKENBAKER
1335 N DUTTON AVE
SANTA ROSA, CA 95401-4609
Phone number: 855-223-7123
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Mailing Address
DAVID LARKIN BLANKENBAKER
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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