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1922783158
IKE MENDEZ-MAZARIEGOS
FULLERTON, CA
NPI
1922783158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
IKE MENDEZ-MAZARIEGOS
713 W COMMONWEALTH AVE STE C
FULLERTON, CA 92832
Phone number: 833-879-4274
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Mailing Address
IKE MENDEZ-MAZARIEGOS
6475 ATLANTIC AVE SPC 147
LONG BEACH, CA 90805-8631
Phone number: 562-786-3151
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