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1417526500
EZEQUIEL CORONA CEBALLOS
FRESNO, CA
NPI
1417526500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
EZEQUIEL CORONA CEBALLOS
1752 E BULLARD AVE STE 101
FRESNO, CA 93710-5864
Phone number: 559-970-8277
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Mailing Address
EZEQUIEL CORONA CEBALLOS
1328 W NORTHGRAND AVE
PORTERVILLE, CA 93257-1004
Phone number: 559-789-2428
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