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1134940349
MARK BANEZ
FREMONT, CA
NPI
1134940349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YS0200X Counselor, School
(Licence: CA 210005304)
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
MARK BANEZ
4357 THORNTON AVE
FREMONT, CA 94536-4827
Phone number: 510-793-9090
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Mailing Address
MARK BANEZ
4357 THORNTON AVE
FREMONT, CA 94536-4827
Phone number: 510-793-9090
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