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1134633753
ERNESTO BASA
RANCHO CORDOVA, CA
NPI
1134633753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
ERNESTO BASA
11740 LOISDALE WAY
RANCHO CORDOVA, CA 95742-8028
Phone number: 916-402-5126
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Mailing Address
ERNESTO BASA
11740 LOISDALE WAY
RANCHO CORDOVA, CA 95742-8028
Phone number: 916-402-5126
Copy
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