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1093577389
ALFONSO MOTA
MODESTO, CA
NPI
1093577389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
ALFONSO MOTA
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350-0981
Phone number: 855-223-7123
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Mailing Address
ALFONSO MOTA
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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