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Individual

CHRISTOPHER A PONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(816) 661-1463
Mailing address
16-2053 MAILE WAY, PAHOA, HI 96778-6741

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/10/2018
Last updated
04/10/2018
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