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1962068668
ISSAK FUENTES
EL SEGUNDO, CA
NPI
1962068668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
ISSAK FUENTES
1730 E HOLLY AVE
EL SEGUNDO, CA 90245-4404
Phone number: 844-467-7763
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Mailing Address
ISSAK FUENTES
1730 E HOLLY AVE
EL SEGUNDO, CA 90245-4404
Phone number: 844-467-7763
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