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1326630682
MATTHEW GABRIEL MABANTA
SAN DIEGO, CA
NPI
1326630682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
MATTHEW GABRIEL MABANTA
4025 CAMINO DEL RIO S STE 101
SAN DIEGO, CA 92108-4100
Phone number: 818-241-6780
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Mailing Address
MATTHEW GABRIEL MABANTA
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number:
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