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1790283398
SALVADOR GOMEZ LARA
FRESNO, CA
NPI
1790283398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 16-13761)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
SALVADOR GOMEZ LARA RBT
3423 N VAHE AVE
FRESNO, CA 93737-9259
Phone number: 559-824-5271
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Mailing Address
SALVADOR GOMEZ LARA RBT
3423 N VAHE AVE
FRESNO, CA 93737-9259
Phone number:
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