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1083319503
SOMPAN PHRACHOMPHONE
FRESNO, CA
NPI
1083319503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
SOMPAN PHRACHOMPHONE
5325 N FRESNO ST STE 106
FRESNO, CA 93710-6849
Phone number: 877-418-2978
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Mailing Address
SOMPAN PHRACHOMPHONE
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978
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