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1316440043
DAVID DIAZ
SACRAMENTO, CA
NPI
1316440043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 18-50246)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
DAVID DIAZ
2775 COTTAGE WAY STE 8
SACRAMENTO, CA 95825-1220
Phone number: 209-572-2589
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Mailing Address
DAVID DIAZ
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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