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1942701230
JUSTIN ALEXANDER MINA
SACRAMENTO, CA
NPI
1942701230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 16-18689)
Enumeration Date
2018-02-22
Last Update Date
2018-03-17
Business Address
JUSTIN ALEXANDER MINA RBT
1901 ROYAL OAKS DR STE 201
SACRAMENTO, CA 95815-4235
Phone number: 916-923-1789
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Mailing Address
JUSTIN ALEXANDER MINA RBT
1901 ROYAL OAKS DR STE 201
SACRAMENTO, CA 95815-4235
Phone number: 916-923-1789
Copy
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