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1063030161
KORY FRASURE
SAN LEANDRO, CA
NPI
1063030161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
KORY FRASURE
477 CALLAN AVE
SAN LEANDRO, CA 94577-4607
Phone number: 818-241-6853
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Mailing Address
KORY FRASURE
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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