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1801503644
IDA KIBUNGUCHY
MONROVIA, CA
NPI
1801503644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
IDA KIBUNGUCHY
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
IDA KIBUNGUCHY
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 916-840-6127
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