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1144986662
GENESIS KALEXA VEGA
HAMDEN, CT
NPI
1144986662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CT 228807317)
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
GENESIS KALEXA VEGA
2666 STATE ST UNIT A3
HAMDEN, CT 06517-2232
Phone number: 888-754-0398
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Mailing Address
GENESIS KALEXA VEGA
2666 STATE ST
HAMDEN, CT 06517-2232
Phone number: 888-754-0398
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