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Individual

BAO QUOC VICTOR MAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1111 BAKER ST, COSTA MESA, CA 92626-4138
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/23/2019
Last updated
07/23/2019
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