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1770136830
DANG-KHOA PHAM
COSTA MESA, CA
NPI
1770136830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
DANG-KHOA PHAM
1111 BAKER ST
COSTA MESA, CA 92626-4138
Phone number: 818-241-6780
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Mailing Address
DANG-KHOA PHAM
1055 E COLORADO BLVD
PASADENA, CA 91106-2327
Phone number:
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