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1487134151
LARISSA SPROUT
SPOKANE, WA
NPI
1487134151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
LARISSA SPROUT
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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Mailing Address
LARISSA SPROUT
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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