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1114494036
SUSAN ANN BAE
IRVINE, CA
NPI
1114494036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
SUSAN ANN BAE
17911 SKY PARK CIR STE E
IRVINE, CA 92614-4303
Phone number: 949-202-0257
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Mailing Address
SUSAN ANN BAE
2973 HARBOR BLVD # 136
COSTA MESA, CA 92626-3912
Phone number: 949-202-0257
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