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1356002000
SANTIAGO VASQUEZ
GLENDALE, AZ
NPI
1356002000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-22-198605)
Enumeration Date
2022-01-05
Last Update Date
2022-01-05
Business Address
SANTIAGO VASQUEZ RBT
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306-1873
Phone number: 602-560-2836
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Mailing Address
SANTIAGO VASQUEZ RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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