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1922718246
RODOLFO KEANO LASERNA
FREMONT, CA
NPI
1922718246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
RODOLFO KEANO LASERNA
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
RODOLFO KEANO LASERNA
4548 STONEYHAVEN WAY
SAN JOSE, CA 95111-3736
Phone number:
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