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1942796974
SAMUEL LUCAS ETLING
PHOENIX, AZ
NPI
1942796974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-07-02
Last Update Date
2018-08-20
Business Address
SAMUEL LUCAS ETLING
2400 W DUNLAP AVE STE 100
PHOENIX, AZ 85021
Phone number: 602-325-2485
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Mailing Address
SAMUEL LUCAS ETLING
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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