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1104316165
VICTORIA LABUSH
DETROIT, MI
NPI
1104316165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI L120847847275)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
VICTORIA LABUSH
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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Mailing Address
VICTORIA LABUSH
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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