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1962910505
SAMUEL EDWARD CORKER
IRVINE, CA
NPI
1962910505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-17-29487)
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
SAMUEL EDWARD CORKER
18008 SKY PARK CIR STE 110
IRVINE, CA 92614-6434
Phone number: 949-474-1493
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Mailing Address
SAMUEL EDWARD CORKER
18008 SKY PARK CIR STE 110
IRVINE, CA 92614-6434
Phone number: 949-474-1493
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