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1629673884
KASSANDRA BONGOLAN
WAIPAHU, HI
NPI
1629673884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
KASSANDRA BONGOLAN
94-849 LUMIAINA ST UNIT 201
WAIPAHU, HI 96797-5677
Phone number: 808-294-7050
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Mailing Address
KASSANDRA BONGOLAN
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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