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1023675980
EDAURDO BACA
MODESTO, CA
NPI
1023675980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-24
Last Update Date
2019-05-24
Business Address
EDAURDO BACA
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-222-2378
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Mailing Address
EDAURDO BACA
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-222-2378
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