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1821629148
JACOB MARCIAL VASCO
FREMONT, CA
NPI
1821629148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
JACOB MARCIAL VASCO
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
JACOB MARCIAL VASCO
4959 FRIAR AVE
FREMONT, CA 94555-3449
Phone number:
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