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1114785268
DANIEL PABUSTAN
FONTANA, CA
NPI
1114785268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.111772)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
DANIEL PABUSTAN
16365 SEQUOIA AVE
FONTANA, CA 92335-5679
Phone number: 909-224-4558
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Mailing Address
DANIEL PABUSTAN
16365 SEQUOIA AVE
FONTANA, CA 92335-5679
Phone number: 909-224-4558
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