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1396286381
TIFFANY NGOC PHAN
ROSEVILLE, CA
NPI
1396286381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- TIFFANY NGOC PHAN
6008 CRATER LAKE DR
ROSEVILLE, CA 95678-1970
Phone number: 916-595-1931
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Mailing Address
-- TIFFANY NGOC PHAN
6008 CRATER LAKE DR
ROSEVILLE, CA 95678-1970
Phone number: 916-595-1931
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