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1003568148
VAVRIX OWENS
MESA, AZ
NPI
1003568148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-22-200412)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
VAVRIX OWENS RBT
6550 E BROADWAY RD STE 110
MESA, AZ 85206-1734
Phone number: 480-672-0772
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Mailing Address
VAVRIX OWENS RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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