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1265005961
ALEXIS ANN ERICSSON
SALT LAKE CITY, UT
NPI
1265005961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-21-151846)
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
ALEXIS ANN ERICSSON RBT
525 E 4500 S
SALT LAKE CITY, UT 84107-2995
Phone number: 801-905-1153
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Mailing Address
ALEXIS ANN ERICSSON RBT
1599 S FOOTHILL DR APT 65
SALT LAKE CITY, UT 84108-2763
Phone number: 208-540-2875
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