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1598532277
DANIEL MOURA PORTELA
SAN BRUNO, CA
NPI
1598532277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
DANIEL MOURA PORTELA
901 SNEATH LN STE 105
SAN BRUNO, CA 94066-2415
Phone number: 855-223-7123
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Mailing Address
DANIEL MOURA PORTELA
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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