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1588344675
ALFREDO BAZAN
RIVERSIDE, CA
NPI
1588344675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
ALFREDO BAZAN
4146 UNIVERSITY AVE
RIVERSIDE, CA 92501-3140
Phone number: 626-353-8933
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Mailing Address
ALFREDO BAZAN
4146 UNIVERSITY AVE
RIVERSIDE, CA 92501-3140
Phone number: 626-353-8933
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