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1306412200
KIEZEL D BASCOS
FULLERTON, CA
NPI
1306412200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
KIEZEL D BASCOS
713 W COMMONWEALTH AVE SUITE C
FULLERTON, CA 92832
Phone number: 714-879-4274
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Mailing Address
KIEZEL D BASCOS
1600 W CARSON ST APT 206
TORRANCE, CA 90501-2843
Phone number: 310-357-9310
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