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1730670613
IVAN KRISTOFLE CUASAY
SACRAMENTO, CA
NPI
1730670613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-25
Last Update Date
2018-05-25
Business Address
IVAN KRISTOFLE CUASAY
1050 FULTON AVE STE 35
SACRAMENTO, CA 95825-4272
Phone number: 916-974-2599
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Mailing Address
IVAN KRISTOFLE CUASAY
5316 KUNGSTING WAY
ELK GROVE, CA 95757-3517
Phone number:
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