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1376109173
SPRING BREANNA IVY
LAFAYETTE, LA
NPI
1376109173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 011390972)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
SPRING BREANNA IVY
1003 HUGH WALLIS RD S STE B2
LAFAYETTE, LA 70508-2528
Phone number: 337-205-4444
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Mailing Address
SPRING BREANNA IVY
1003 HUGH WALLIS RD S STE B2
LAFAYETTE, LA 70508-2528
Phone number: 337-205-4444
Copy
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