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1568926301
SOPHIA KOEUT
SAN DIEGO, CA
NPI
1568926301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-16-19917)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
SOPHIA KOEUT
4204A ADAMS AVE
SAN DIEGO, CA 92116-2300
Phone number: 619-786-0074
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Mailing Address
SOPHIA KOEUT
4204A ADAMS AVE
SAN DIEGO, CA 92116-2300
Phone number: 619-786-0074
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