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1114434867
ELIAS DANIEL BALLESTEROS GONZALEZ
SACRAMENTO, CA
NPI
1114434867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 17-31103)
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
ELIAS DANIEL BALLESTEROS GONZALEZ
4540 HARLIN DR
SACRAMENTO, CA 95826-9716
Phone number: 909-484-2848
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Mailing Address
ELIAS DANIEL BALLESTEROS GONZALEZ
4540 HARLIN DR
SACRAMENTO, CA 95826-9716
Phone number: 909-484-2848
Copy
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