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1700489077
DALE BONGOLAN
SAN DIEGO, CA
NPI
1700489077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
DALE BONGOLAN
9920 PACIFIC HEIGHTS BLVD SUITE 150
SAN DIEGO, CA 92121-4396
Phone number: 303-989-8169
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Mailing Address
DALE BONGOLAN
9920 PACIFIC HEIGHTS BLVD SUITE 150
SAN DIEGO, CA 92121-4396
Phone number:
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