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1295311520
JOSE JORGE GAVINA
HUNTINGTON BEACH, CA
NPI
1295311520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
JOSE JORGE GAVINA
4952 WARNER AVE STE 300
HUNTINGTON BEACH, CA 92649-5506
Phone number: 714-587-9007
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Mailing Address
JOSE JORGE GAVINA
217 S KINGSLEY ST
ANAHEIM, CA 92806-4053
Phone number: 442-363-0776
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