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1023416039
JOSE JUAN BUSTAMANTE
LOS ANGELES, CA
NPI
1023416039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-11-9050)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
JOSE JUAN BUSTAMANTE BCBA
8111 1/4 LINCOLN BLVD
LOS ANGELES, CA 90045-2439
Phone number: 310-259-0716
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Mailing Address
JOSE JUAN BUSTAMANTE BCBA
8111 1/4 LINCOLN BLVD
LOS ANGELES, CA 90045-2439
Phone number:
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