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1093347148
JOSE JUAN IBANEZ
SAN JOSE, CA
NPI
1093347148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
JOSE JUAN IBANEZ
1887 MONTEREY HWY STE 225
SAN JOSE, CA 95112-6192
Phone number: 408-706-6855
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Mailing Address
JOSE JUAN IBANEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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