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1275103681
PHOUNGMALA ROS
SACRAMENTO, CA
NPI
1275103681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
PHOUNGMALA ROS
2751 WILMINGTON AVE
SACRAMENTO, CA 95820-1048
Phone number: 916-335-9031
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Mailing Address
PHOUNGMALA ROS
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number:
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