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1962904797
JOSE AVILA HURTADO
TRACY, CA
NPI
1962904797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 18-49827)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
JOSE AVILA HURTADO
510 WHISPERING WIND DR STE 110
TRACY, CA 95377-8119
Phone number: 209-572-2589
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Mailing Address
JOSE AVILA HURTADO
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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