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1942959564
DEVANTE DOMINIQUE LEWIS
COSTA MESA, CA
NPI
1942959564
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Other Name
DEVANTE DOMINIQUE JONES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
DEVANTE DOMINIQUE LEWIS
3186 AIRWAY AVE STE A
COSTA MESA, CA 92626-4650
Phone number: 714-881-0427
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Mailing Address
DEVANTE DOMINIQUE LEWIS
3186 AIRWAY AVE STE A
COSTA MESA, CA 92626-4650
Phone number: 714-881-0427
Copy
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