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1518565142
KOOSHA HEIDARI
SAN DIEGO, CA
NPI
1518565142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
KOOSHA HEIDARI
501 W BROADWAY STE 800
SAN DIEGO, CA 92101-3546
Phone number: 877-418-2978
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Mailing Address
KOOSHA HEIDARI
501 W BROADWAY STE 800
SAN DIEGO, CA 92101-3546
Phone number:
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