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1912569419
ISRAEL RODRIGUEZ
SAN DIEGO, CA
NPI
1912569419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-07-03
Last Update Date
2020-02-18
Business Address
ISRAEL RODRIGUEZ
286 EUCLID AVE STE 102
SAN DIEGO, CA 92114-3611
Phone number: 619-266-2111
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Mailing Address
ISRAEL RODRIGUEZ
286 EUCLID AVE STE 102
SAN DIEGO, CA 92114-3611
Phone number: 619-266-2111
Copy
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