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1073207981
JUSTIN LAZENBY
SOLDOTNA, AK
NPI
1073207981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AK RBT-23-277413)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
JUSTIN LAZENBY RBT
43636 KALIFORNSKY BEACH RD
SOLDOTNA, AK 99669-8264
Phone number: 907-931-5548
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Mailing Address
JUSTIN LAZENBY RBT
PO BOX 771324
EAGLE RIVER, AK 99577-1324
Phone number:
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