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1144007147
JOSEPH MARTIN BACAY DATU
EWA BEACH, HI
NPI
1144007147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: HI BACB981803)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
JOSEPH MARTIN BACAY DATU
91-1159 KAMAKANA ST APT 120
EWA BEACH, HI 96706-2023
Phone number: 808-721-8386
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Mailing Address
JOSEPH MARTIN BACAY DATU
7002 HAWAII KAI DR APT 1911
HONOLULU, HI 96825-4209
Phone number: 808-724-7531
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