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1104346931
IVANN FERNANDEZ
ELK GROVE, CA
NPI
1104346931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-22
Last Update Date
2022-07-21
Business Address
IVANN FERNANDEZ
8700 ELFIN CT
ELK GROVE, CA 95758-6796
Phone number: 916-513-0256
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Mailing Address
IVANN FERNANDEZ
8700 ELFIN CT
ELK GROVE, CA 95758-6796
Phone number: 916-513-0256
Copy
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