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1225598998
JEANETTE PHUONG BANH-DE GUZMAN
CARLSBAD, CA
NPI
1225598998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
JEANETTE PHUONG BANH-DE GUZMAN
2928 JEFFERSON ST STE 100
CARLSBAD, CA 92008-2374
Phone number: 760-637-9996
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Mailing Address
JEANETTE PHUONG BANH-DE GUZMAN
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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