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1376220848
MAIRA MARTINEZ
SHREVEPORT, LA
NPI
1376220848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R11688)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
MAIRA MARTINEZ RLT
7330 FERN AVE STE 1001
SHREVEPORT, LA 71105-4988
Phone number: 318-641-0444
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Mailing Address
MAIRA MARTINEZ RLT
7330 FERN AVE STE 1001
SHREVEPORT, LA 71105-4988
Phone number: 318-641-0444
Copy
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