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1003488669
CHACE MITSUO-KIYOSHI SAGAWA
WAIPAHU, HI
NPI
1003488669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-13
Last Update Date
2022-11-02
Business Address
Mr. CHACE MITSUO-KIYOSHI SAGAWA
94-849 LUMIAINA ST UNIT 201
WAIPAHU, HI 96797-5677
Phone number: 855-223-7123
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Mailing Address
Mr. CHACE MITSUO-KIYOSHI SAGAWA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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