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1962189175
BRYAN LUIS
RIVERSIDE, CA
NPI
1962189175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
BRYAN LUIS
6876 MAGNOLIA AVE
RIVERSIDE, CA 92506-2860
Phone number: 760-992-3039
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Mailing Address
BRYAN LUIS
7439 VALARIA DR
HIGHLAND, CA 92346-3450
Phone number: 909-362-3982
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