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1356872014
PORTIA LUSTER
IRVING, TX
NPI
1356872014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- PORTIA LUSTER Behavior Assistant
8616 VALLEY RANCH PKWY W APT #3066
IRVING, TX 75063-4145
Phone number: 501-831-3494
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Mailing Address
-- PORTIA LUSTER Behavior Assistant
8616 VALLEY RANCH PKWY W APT #3066
IRVING, TX 75063-4145
Phone number: 501-831-3494
Copy
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