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Individual

NICOLE VASAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
65-1279 KAWAIHAE RD, SUITE 201, KAMUELA, HI 96743-8444
(808) 887-0747
Mailing address
PO BOX 673, HONOKAA, HI 96727-0673
(808) 286-5451

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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