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1083280945
SAMANTHA FONG
DAVIS, CA
NPI
1083280945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
SAMANTHA FONG
1947 GALILEO CT STE 101
DAVIS, CA 95618-4882
Phone number: 530-220-1450
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Mailing Address
SAMANTHA FONG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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