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1679143002
HUMBERTO MIGUEL VASQUEZ
RIVERBANK, CA
NPI
1679143002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
HUMBERTO MIGUEL VASQUEZ BA
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367-9505
Phone number: 866-523-4268
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Mailing Address
HUMBERTO MIGUEL VASQUEZ BA
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 209-507-4129
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