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1508365347
SAWPAKA PHOTHISEN
PROVIDENCE, RI
NPI
1508365347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-07
Last Update Date
2018-02-07
Business Address
SAWPAKA PHOTHISEN
290 W EXCHANGE ST STE 101
PROVIDENCE, RI 02903
Phone number: 401-288-3634
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Mailing Address
SAWPAKA PHOTHISEN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number:
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