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1700451549
ANGELA PHANTHAO
SAN DIEGO, CA
NPI
1700451549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-24
Last Update Date
2021-12-30
Business Address
ANGELA PHANTHAO
11650 IBERIA PL STE 130
SAN DIEGO, CA 92128
Phone number: 858-264-5858
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Mailing Address
ANGELA PHANTHAO
11650 IBERIA PL STE 130
SAN DIEGO, CA 92128
Phone number: 858-264-5858
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