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1962119800
KENNETH ERICKSON
ELK GROVE, CA
NPI
1962119800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
KENNETH ERICKSON
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624-9476
Phone number: 916-683-1109
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Mailing Address
KENNETH ERICKSON
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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