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1417416215
ANDY PHAN
GARDEN GROVE, CA
NPI
1417416215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-03-19
Last Update Date
2019-06-11
Business Address
ANDY PHAN
12395 LEWIS ST STE 202
GARDEN GROVE, CA 92840-4694
Phone number: 714-867-6384
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Mailing Address
ANDY PHAN
1809 PARK GLEN CIR UNIT A
SANTA ANA, CA 92706-2265
Phone number: 714-585-9960
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