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Individual

ABRAHAM AZANON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
21600 OXNARD ST STE 200, WOODLAND HILLS, CA 91367-4971
(877) 206-1009
Mailing address
21600 OXNARD ST STE 200, WOODLAND HILLS, CA 91367-4971

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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