BEGIN:VCARD VERSION:3.0 FN:Manuel Spear N:Spear;Manuel;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+15102688120 URL:https://www.gale.care/providers/ca/concord/manuel-spear-1700526209 NOTE:NPI 1700526209. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1700526209 END:VCARD