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1922762103
KIRBY BLACK
LAGUNA HILLS, CA
NPI
1922762103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
KIRBY BLACK
25201 PASEO DE ALICIA STE 110
LAGUNA HILLS, CA 92653-4627
Phone number: 818-241-6780
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Mailing Address
KIRBY BLACK
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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