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1346934486
AUSTINN ELISE BLACK
NAMPA, ID
NPI
1346934486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
AUSTINN ELISE BLACK
220 W GEORGIA AVE
NAMPA, ID 83686-2835
Phone number: 425-977-0088
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Mailing Address
AUSTINN ELISE BLACK
90 SE DALO DR
MOUNTAIN HOME, ID 83647-6024
Phone number: 208-794-1807
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