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1952148546
ISAIAH MANUEL BANUELOS
SAN DIEGO, CA
NPI
1952148546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
ISAIAH MANUEL BANUELOS
501 W BROADWAY
SAN DIEGO, CA 92101-3536
Phone number: 877-418-2978
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Mailing Address
ISAIAH MANUEL BANUELOS
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978
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