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1497433866
LUCAS GONGORA
RIVERSIDE, CA
NPI
1497433866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
LUCAS GONGORA
6370 MAGNOLIA AVE STE 340
RIVERSIDE, CA 92506-2404
Phone number: 888-428-3223
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Mailing Address
LUCAS GONGORA
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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