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1033996640
ANTHONY PHAN
HUNTINGTON BEACH, CA
NPI
1033996640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
ANTHONY PHAN
18685 MAIN ST STE 101-459
HUNTINGTON BEACH, CA 92648-1723
Phone number: 714-697-1907
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Mailing Address
ANTHONY PHAN
18685 MAIN ST STE 101-459
HUNTINGTON BEACH, CA 92648-1723
Phone number: 714-697-1907
Copy
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