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1508319385
GINA BENNETT
THE DALLES, OR
NPI
1508319385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10179260)
Enumeration Date
2016-07-28
Last Update Date
2016-10-18
Business Address
-- GINA BENNETT
309 E 2ND ST
THE DALLES, OR 97058-2107
Phone number: 541-298-2101
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Mailing Address
-- GINA BENNETT
309 E 2ND ST
THE DALLES, OR 97058-2107
Phone number: 541-298-2101
Copy
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