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1255934279
ALAN IRVIN
EAGAN, MN
NPI
1255934279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MN 106S00000X)
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
ALAN IRVIN
4635 NICOLS RD # 104
EAGAN, MN 55122-3337
Phone number: 612-289-6480
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Mailing Address
ALAN IRVIN
4635 NICOLS RD # 104
EAGAN, MN 55122-3337
Phone number: 612-289-6480
Copy
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