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1326758160
ANGEL IGNACIO MEDINA
RIVERSIDE, CA
NPI
1326758160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
Mr. ANGEL IGNACIO MEDINA
6809 INDIANA AVE STE 154
RIVERSIDE, CA 92506-4221
Phone number: 951-774-1338
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Mailing Address
Mr. ANGEL IGNACIO MEDINA
13371 FIRST AVE
VICTORVILLE, CA 92395-8947
Phone number: 760-261-1328
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