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1295403905
DEREK FAN
DUBLIN, CA
NPI
1295403905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
DEREK FAN
5601 ARNOLD RD FL 100
DUBLIN, CA 94568-7726
Phone number: 925-833-7789
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Mailing Address
DEREK FAN
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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