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1265108468
IVAN GUTIERREZ
FAIRFIELD, CA
NPI
1265108468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
IVAN GUTIERREZ
801 JEFFERSON ST STE 4&35&6
FAIRFIELD, CA 94533-5557
Phone number: 855-223-7123
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Mailing Address
IVAN GUTIERREZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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