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1386133593
MAURINA KRYSTAL FANOUS
PASADENA, CA
NPI
1386133593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 19688)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-05-02
Last Update Date
2023-04-18
Business Address
MAURINA KRYSTAL FANOUS
221 E WALNUT ST STE 134
PASADENA, CA 91101-1554
Phone number: 626-377-9596
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Mailing Address
MAURINA KRYSTAL FANOUS
8028 4TH ST UNIT B
DOWNEY, CA 90241-3606
Phone number: 562-728-3131
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