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1417556697
BRYAN AMEZQUITA
COSTA MESA, CA
NPI
1417556697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
BRYAN AMEZQUITA
1520 NUTMEG PL STE 110
COSTA MESA, CA 92626-2557
Phone number: 818-241-6780
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Mailing Address
BRYAN AMEZQUITA
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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