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1134610553
ELIJAH GARY MENDOZA
FRESNO, CA
NPI
1134610553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
ELIJAH GARY MENDOZA
1690 W SHAW AVE STE 102
FRESNO, CA 93711-3518
Phone number: 559-255-5900
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Mailing Address
ELIJAH GARY MENDOZA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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