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1154917979
AMANDA LAIQ
BLOOMINGTON, IN
NPI
1154917979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-20-145839)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
AMANDA LAIQ
227 W GRIMES LN
BLOOMINGTON, IN 47403-3015
Phone number: 812-322-0313
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Mailing Address
AMANDA LAIQ
PO BOX 668
BLOOMINGTON, IN 47402-0668
Phone number: 812-322-0313
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