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1801528534
KATHERINE SUPAN
SAN DIEGO, CA
NPI
1801528534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
KATHERINE SUPAN
4719 VIEWRIDGE AVE STE 100
SAN DIEGO, CA 92123-1685
Phone number: 866-727-8274
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Mailing Address
KATHERINE SUPAN
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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