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1982235248
ISSAC ABRAHAM HAILESELASSIE
GARDEN GROVE, CA
NPI
1982235248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
ISSAC ABRAHAM HAILESELASSIE
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840-4658
Phone number: 949-833-2237
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Mailing Address
ISSAC ABRAHAM HAILESELASSIE
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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