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1093470395
MIA ANN BIVALACQUA
PRAIRIEVILLE, LA
NPI
1093470395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
MIA ANN BIVALACQUA
17505 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769-3930
Phone number: 985-500-3130
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Mailing Address
MIA ANN BIVALACQUA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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