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1932699022
KRISTINE T PHAN
LAKEWOOD, CA
NPI
1932699022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-18-30085)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
KRISTINE T PHAN BCBA
5834 ADENMOOR AVE
LAKEWOOD, CA 90713-1002
Phone number: 310-310-2931
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Mailing Address
KRISTINE T PHAN BCBA
5834 ADENMOOR AVE
LAKEWOOD, CA 90713-1002
Phone number: 310-310-2931
Copy
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