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1891458170
ELIJAH PORTADES
SAN BRUNO, CA
NPI
1891458170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
ELIJAH PORTADES
901 SNEATH LN STE 105
SAN BRUNO, CA 94066-2415
Phone number: 855-223-7123
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Mailing Address
ELIJAH PORTADES
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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