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1073082939
MARK COLLANTES
SAN JOSE, CA
NPI
1073082939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA F7456692)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
MARK COLLANTES
3610 SNELL AVE
SAN JOSE, CA 95136-1305
Phone number: 408-618-5267
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Mailing Address
MARK COLLANTES
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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