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1710441076
MITCHELL BANUELO
FRESNO, CA
NPI
1710441076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
MITCHELL BANUELO
5048 N JACKSON AVE
FRESNO, CA 93740-0001
Phone number: 559-278-6779
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Mailing Address
MITCHELL BANUELO
5048 N JACKSON AVE
FRESNO, CA 93740-0001
Phone number: 559-278-6779
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