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1427323328
FABIAN BANUELOS
KENAI, AK
NPI
1427323328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PR 16436)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2012-03-12
Last Update Date
2024-11-05
Business Address
FABIAN BANUELOS
508 UPLAND ST
KENAI, AK 99611-8026
Phone number: 907-335-7500
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Mailing Address
FABIAN BANUELOS
15138 CAROLS WAY DR
HOUSTON, TX 77070-1117
Phone number: 915-502-3362
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