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1164990420
IVORI LEANN BLACK
CEDAR CITY, UT
NPI
1164990420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
Ms. IVORI LEANN BLACK
54 N 200 E
CEDAR CITY, UT 84720-2615
Phone number: 435-586-2515
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Mailing Address
Ms. IVORI LEANN BLACK
474 W 200 N
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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