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1083307821
ELLIE BUABENG
SHAKOPEE, MN
NPI
1083307821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
ELLIE BUABENG
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379-2829
Phone number: 612-416-1301
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Mailing Address
ELLIE BUABENG
2127 MEADOWLARK LN
SHAKOPEE, MN 55379-5905
Phone number: 952-393-5827
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