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1003160011
FERNANDO JOSE ZALDIVAR
SPOKANE, WA
NPI
1003160011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2012-10-30
Last Update Date
2024-02-26
Business Address
FERNANDO JOSE ZALDIVAR
522 W RIVERSIDE AVE STE 4691
SPOKANE, WA 99201-0580
Phone number: 360-605-0163
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Mailing Address
FERNANDO JOSE ZALDIVAR
522 W RIVERSIDE AVE STE 4691
SPOKANE, WA 99201-0580
Phone number: 360-605-0163
Copy
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