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1205615986
ALYSSA ROSE KING
SOUTH BEND, IN
NPI
1205615986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-22
Last Update Date
2023-09-22
Business Address
ALYSSA ROSE KING
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
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Mailing Address
ALYSSA ROSE KING
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Copy
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