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1194310227
LISETTE DOMINIQUE RICE
VIRGINIA BEACH, VA
NPI
1194310227
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Former Name
LISETTE DOMINIQUE BALLAH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA RBT-20-131643)
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
LISETTE DOMINIQUE RICE
629 PHOENIX DR STE 150
VIRGINIA BEACH, VA 23452-7341
Phone number: 757-837-0761
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Mailing Address
LISETTE DOMINIQUE RICE
629 PHOENIX DR STE 150
VIRGINIA BEACH, VA 23452-7341
Phone number: 757-837-0761
Copy
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