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1871145094
JACK E PARKER
FAIRFAX, VA
NPI
1871145094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
JACK E PARKER
10340 DEMOCRACY LN STE 102B103
FAIRFAX, VA 22030-2518
Phone number: 571-386-0871
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Mailing Address
JACK E PARKER
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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