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1932972452
SAMUEL RUSSELL KNOTT
GARDEN GROVE, CA
NPI
1932972452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
SAMUEL RUSSELL KNOTT
12399 LEWIS ST STE 202
GARDEN GROVE, CA 92840-4697
Phone number: 714-750-0575
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Mailing Address
SAMUEL RUSSELL KNOTT
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 714-750-0575
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