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1346074135
TAKWA S GORDON
TWIN FALLS, ID
NPI
1346074135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
TAKWA S GORDON
930 SPARKS ST N
TWIN FALLS, ID 83301-3688
Phone number: 510-283-7216
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Mailing Address
TAKWA S GORDON
930 SPARKS ST N
TWIN FALLS, ID 83301-3688
Phone number: 510-283-7216
Copy
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