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1013612746
SAGE MADELINE DISKERUD
SAN ANTONIO, TX
NPI
1013612746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
SAGE MADELINE DISKERUD
6222 W IH 10 STE 104
SAN ANTONIO, TX 78201-2013
Phone number: 210-447-0039
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Mailing Address
SAGE MADELINE DISKERUD
6222 W IH 10 STE 104
SAN ANTONIO, TX 78201-2013
Phone number: 210-447-0039
Copy
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