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1336924943
ISMAIL BANYINGELA
FAIRFIELD, CA
NPI
1336924943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
ISMAIL BANYINGELA
801 JEFFERSON ST STE 4
FAIRFIELD, CA 94533-5557
Phone number: 855-223-7123
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Mailing Address
ISMAIL BANYINGELA
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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