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1952955809
IAN ANDERSEN
SALEM, OR
NPI
1952955809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
IAN ANDERSEN
3494 LIBERTY RD S
SALEM, OR 97302-4607
Phone number: 971-304-0660
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Mailing Address
IAN ANDERSEN
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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