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1447917729
ISHAN BANDARA SAMARAKKODY MUDIYANSELAGE
SPARKS, NV
NPI
1447917729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
ISHAN BANDARA SAMARAKKODY MUDIYANSELAGE
300 LOS ALTOS PKWY STE 109
SPARKS, NV 89436-7754
Phone number: 775-996-3890
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Mailing Address
ISHAN BANDARA SAMARAKKODY MUDIYANSELAGE
240 BOOTH ST APT L
RENO, NV 89509-1311
Phone number: 209-505-0634
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