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1467035345
IDA ROSE SPRAGUE
OMAHA, NE
NPI
1467035345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2021-04-29
Last Update Date
2021-08-19
Business Address
IDA ROSE SPRAGUE
1299 FARNAM ST
OMAHA, NE 68102-1880
Phone number: 732-806-0091
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Mailing Address
IDA ROSE SPRAGUE
212 2ND ST STE 202A
LAKEWOOD, NJ 08701-3951
Phone number: 402-252-1363
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