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1982369377
TAVISH KING
PROVO, UT
NPI
1982369377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
TAVISH KING
180 N UNIVERSITY AVE
PROVO, UT 84601-5647
Phone number: 818-241-6780
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Mailing Address
TAVISH KING
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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