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1841057908
BRYAN FUENTES
ANAHEIM, CA
NPI
1841057908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 7568)
Enumeration Date
2024-03-04
Last Update Date
2024-03-05
Business Address
BRYAN FUENTES
800 S HARBOR BLVD STE 100
ANAHEIM, CA 92805-5188
Phone number: 657-208-3188
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Mailing Address
BRYAN FUENTES
731 S VAN NESS AVE
SANTA ANA, CA 92701-5550
Phone number:
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