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1245962737
TERRA J HAYNES
RUPERT, ID
NPI
1245962737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
TERRA J HAYNES
707 F ST
RUPERT, ID 83350-1638
Phone number: 208-794-8139
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Mailing Address
TERRA J HAYNES
523 S MAPLE ST
RUPERT, ID 83350-2168
Phone number: 208-794-8139
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