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1902447089
AUDREY LEHUA GASSAWAY
FREMONT, CA
NPI
1902447089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
AUDREY LEHUA GASSAWAY
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
AUDREY LEHUA GASSAWAY
620 S 9TH ST
SAN JOSE, CA 95112-3776
Phone number: 916-792-7242
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