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1801354022
JORDAN BANUELOS
CLOVIS, CA
NPI
1801354022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
JORDAN BANUELOS
75 PARK CREEK DR STE 104
CLOVIS, CA 93611-4432
Phone number: 559-460-9090
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Mailing Address
JORDAN BANUELOS
75 PARK CREEK DR STE 104
CLOVIS, CA 93611-4432
Phone number: 559-460-9090
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