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1235622838
MARK VELASCO
FONTANA, CA
NPI
1235622838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-08
Last Update Date
2018-06-08
Business Address
MARK VELASCO
13668 KINGS CANYON CT
FONTANA, CA 92336-3806
Phone number: 626-371-6635
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Mailing Address
MARK VELASCO
13668 KINGS CANYON CT
FONTANA, CA 92336-3806
Phone number: 626-371-6635
Copy
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