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1386422731
JACOB ALEXANDER PETRUNGARO
CARLSBAD, CA
NPI
1386422731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
JACOB ALEXANDER PETRUNGARO
2928 JEFFERSON ST STE 100
CARLSBAD, CA 92008-2374
Phone number: 855-223-7123
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Mailing Address
JACOB ALEXANDER PETRUNGARO
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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