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1033852694
SEAN WALLASZEK
BOISE, ID
NPI
1033852694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
SEAN WALLASZEK
1087 E PARK BLVD
BOISE, ID 83712
Phone number: 208-369-9168
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Mailing Address
SEAN WALLASZEK
1316 N 21ST ST
BOISE, ID 83702-2409
Phone number: 208-867-7828
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