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1891258729
AMENHOTEP TAHARKA
HAYWARD, CA
NPI
1891258729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
AMENHOTEP TAHARKA
24301 SOUTHLAND DR STE 410
HAYWARD, CA 94545-1551
Phone number: 888-428-3223
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Mailing Address
AMENHOTEP TAHARKA
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number:
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