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1821596644
JORDAN BUCCAT
FREMONT, CA
NPI
1821596644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-26
Last Update Date
2018-01-26
Business Address
JORDAN BUCCAT
39210 STATE ST STE 100
FREMONT, CA 94538-1456
Phone number: 510-894-4456
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Mailing Address
JORDAN BUCCAT
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number:
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