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1982431177
JASON EMMANUEL LEWIS
GARDENA, CA
NPI
1982431177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
JASON EMMANUEL LEWIS
879 W 190TH ST STE 1000
GARDENA, CA 90248-4255
Phone number: 310-329-9115
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Mailing Address
JASON EMMANUEL LEWIS
1819 CHARLIE SIFFORD DR
LOS ANGELES, CA 90047-5102
Phone number: 310-901-0446
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