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1881123339
GANNON BEDFORD GRACE
SACRAMENTO, CA
NPI
1881123339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-08
Last Update Date
2018-03-17
Business Address
GANNON BEDFORD GRACE
3031 C ST
SACRAMENTO, CA 95816-3326
Phone number:
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Mailing Address
GANNON BEDFORD GRACE
5307 WHITNEY AVE
CARMICHAEL, CA 95608-3092
Phone number:
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