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1063195600
JUAN CARLOS BANUELOS
CHULA VISTA, CA
NPI
1063195600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
JUAN CARLOS BANUELOS
310 3RD AVE STE B8
CHULA VISTA, CA 91910-3990
Phone number: 855-223-7123
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Mailing Address
JUAN CARLOS BANUELOS
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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