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1396928974
SAMUEL D BANUELOS
LONG BEACH, CA
NPI
1396928974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2007-12-06
Last Update Date
2007-12-06
Business Address
Mr. SAMUEL D BANUELOS
415 WEST OCEAN BLVD #100
LONG BEACH, CA 90802
Phone number: 562-491-5811
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Mailing Address
Mr. SAMUEL D BANUELOS
9150 EAST IMPERIAL HIGHWAY ROOM P31
DOWNEY, CA 90242
Phone number: 562-940-3694
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