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1962220814
THEODORE PHILLIPS
SACRAMENTO, CA
NPI
1962220814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
THEODORE PHILLIPS
3031 C ST
SACRAMENTO, CA 95816-3326
Phone number: 916-442-2396
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Mailing Address
THEODORE PHILLIPS
3031 C ST
SACRAMENTO, CA 95816-3326
Phone number: 916-442-2396
Copy
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