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1609555739
ROBIN BANTA
FULLERTON, CA
NPI
1609555739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
ROBIN BANTA
713 W COMMONWEALTH AVE
FULLERTON, CA 92832-1612
Phone number: 714-879-4274
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Mailing Address
ROBIN BANTA
6086 BELLE AVE
BUENA PARK, CA 90620-4317
Phone number: 714-699-6863
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