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1639895014
JASON VINCE UNDAJON
FREMONT, CA
NPI
1639895014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
JASON VINCE UNDAJON
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
JASON VINCE UNDAJON
2886 GLEN FROST CT
SAN JOSE, CA 95148-2539
Phone number: 408-691-2645
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