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1710567615
JEFFREY FERNANDEZ
GLENDALE, CA
NPI
1710567615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
JEFFREY FERNANDEZ
600 W BROADWAY STE 300
GLENDALE, CA 91204-1025
Phone number: 818-722-1770
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Mailing Address
JEFFREY FERNANDEZ
18726 S WESTERN AVE STE 408
GARDENA, CA 90248-3858
Phone number: 310-856-0800
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