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1457167512
KENNETH PHAN
EL SEGUNDO, CA
NPI
1457167512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
KENNETH PHAN
100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO, CA 90245-5602
Phone number: 310-856-0800
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Mailing Address
KENNETH PHAN
100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO, CA 90245-5602
Phone number: 310-856-0800
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