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1801436878
VINCENT THE PHAN
SAN DIMAS, CA
NPI
1801436878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
VINCENT THE PHAN
677 CLIFFSIDE DR
SAN DIMAS, CA 91773-2957
Phone number: 909-971-4140
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Mailing Address
VINCENT THE PHAN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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