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1124790456
ALFONSO CONCHAS
FAIRFIELD, CA
NPI
1124790456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
ALFONSO CONCHAS
801 JEFFERSON ST STE 4&35&6
FAIRFIELD, CA 94533-5557
Phone number: 855-223-7123
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Mailing Address
ALFONSO CONCHAS
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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