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1861962011
MISSAC GONZALEZ
COSTA MESA, CA
NPI
1861962011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
MISSAC GONZALEZ
1111 BAKER ST
COSTA MESA, CA 92626-4138
Phone number: 818-241-6780
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Mailing Address
MISSAC GONZALEZ
206 N JACKSON ST STE 202
GLENDALE, CA 91206-4330
Phone number: 818-241-6780
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