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1134981202
JORGE CASTELLON JR
CONYERS, GA
NPI
1134981202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 24-321899)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
JORGE CASTELLON JR
2426 HI ROC CIR NE
CONYERS, GA 30012-2410
Phone number: 305-726-3485
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Mailing Address
JORGE CASTELLON JR
2426 HI ROC CIR NE
CONYERS, GA 30012-2410
Phone number: 305-726-3485
Copy
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