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1639749922
SAMUEL JR CARVAJAL MORENO
CHULA VISTA, CA
NPI
1639749922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
SAMUEL JR CARVAJAL MORENO
310 3RD AVE STE B8
CHULA VISTA, CA 91910-3990
Phone number: 855-223-7123
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Mailing Address
SAMUEL JR CARVAJAL MORENO
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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