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1427885409
DONOVAN FUENTES BALDERAS
POMONA, CA
NPI
1427885409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
DONOVAN FUENTES BALDERAS
21 RANCHO CAMINO DR STE 108
POMONA, CA 91766-7020
Phone number: 855-223-7123
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Mailing Address
DONOVAN FUENTES BALDERAS
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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