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1528890324
ELISHA PHAN
EL SEGUNDO, CA
NPI
1528890324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
ELISHA PHAN
100 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4359
Phone number: 424-210-9148
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Mailing Address
ELISHA PHAN
100 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4359
Phone number: 424-337-1418
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