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Individual

ADELINA KA-IPO I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BACHELORS

Contact information

Practice address
HC 2 BOX 6862, KEAAU, HI 96749-9314
(808) 896-4196
Mailing address
HC 2 BOX 6862, KEAAU, HI 96749-9314
(808) 896-4196

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/28/2015
Last updated
12/28/2015
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