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1205566056
DAISY MIRELES CHAVEZ
GRAND ISLAND, NE
NPI
1205566056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NE BCBA799654)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
DAISY MIRELES CHAVEZ
209 W 20TH ST
GRAND ISLAND, NE 68801-2370
Phone number: 308-339-9176
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Mailing Address
DAISY MIRELES CHAVEZ
209 W 20TH ST
GRAND ISLAND, NE 68801-2370
Phone number: 308-339-9176
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