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1154074045
JACOB J CHICAS
ALBUQUERQUE, NM
NPI
1154074045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NM 513880782)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
JACOB J CHICAS
7920 WYOMING BLVD NE STE A1
ALBUQUERQUE, NM 87109-6020
Phone number: 505-420-4126
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Mailing Address
JACOB J CHICAS
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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