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1174180707
LANIE D PETERSEN
JUNCTION CITY, KS
NPI
1174180707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-20-131520)
Enumeration Date
2019-05-20
Last Update Date
2020-08-12
Business Address
LANIE D PETERSEN
924 W 6TH ST
JUNCTION CITY, KS 66441-3229
Phone number: 785-256-9096
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Mailing Address
LANIE D PETERSEN
924 W 6TH ST
JUNCTION CITY, KS 66441-3229
Phone number: 785-256-9096
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