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1154965614
JACOB MITCHEL MARQUEZ
SACRAMENTO, CA
NPI
1154965614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
JACOB MITCHEL MARQUEZ
610 BERCUT DR STE B
SACRAMENTO, CA 95811-0115
Phone number: 916-443-2479
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Mailing Address
JACOB MITCHEL MARQUEZ
5506 BANDERAS CT # 95835
SACRAMENTO, CA 95835-1316
Phone number: 916-261-2959
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