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1487478509
DERRICK PHAN
ANAHEIM, CA
NPI
1487478509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
DERRICK PHAN
2569 W WOODLAND DR
ANAHEIM, CA 92801-2608
Phone number: 888-428-3223
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Mailing Address
DERRICK PHAN
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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