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1003433780
LARISSA ROXANE KENT
CHEYENNE, WY
NPI
1003433780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
LARISSA ROXANE KENT
3120 OLD FAITHFUL RD STE 100
CHEYENNE, WY 82001-5890
Phone number: 307-369-1410
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Mailing Address
LARISSA ROXANE KENT
3120 OLD FAITHFUL RD STE 100
CHEYENNE, WY 82001-5890
Phone number: 307-365-8946
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