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1346015906
JUAN CARLOS PENALOZA
CHULA VISTA, CA
NPI
1346015906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
Mr. JUAN CARLOS PENALOZA
891 KUHN DR STE 110
CHULA VISTA, CA 91914-3551
Phone number: 619-864-7070
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Mailing Address
Mr. JUAN CARLOS PENALOZA
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number:
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