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1235632993
JOSE GAMEZ
MODESTO, CA
NPI
1235632993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 18-47793)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
JOSE GAMEZ
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
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Mailing Address
JOSE GAMEZ
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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