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1023769403
ALENA RENEE LAVASTIDA
MINNEAPOLIS, MN
NPI
1023769403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-17
Last Update Date
2022-01-17
Business Address
ALENA RENEE LAVASTIDA
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-767-7222
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Mailing Address
ALENA RENEE LAVASTIDA
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-767-7222
Copy
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