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1962018846
MARY SAMREUANG
ALAMEDA, CA
NPI
1962018846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
MARY SAMREUANG
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number: 510-268-8120
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Mailing Address
MARY SAMREUANG
3071 DESERET DR
EL SOBRANTE, CA 94803-2330
Phone number: 510-691-2155
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