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1457061772
JOHN NOVENO MATIENZO
FREMONT, CA
NPI
1457061772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
JOHN NOVENO MATIENZO
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
JOHN NOVENO MATIENZO
566 VIA MANZANAS APT 6
SAN LORENZO, CA 94580-2947
Phone number:
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