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1508578055
MARISA RUSSO
BATON ROUGE, LA
NPI
1508578055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-11298)
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
MARISA RUSSO RBT
7784 INNOVATION PARK DR
BATON ROUGE, LA 70820-7006
Phone number: 225-343-4232
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Mailing Address
MARISA RUSSO RBT
7784 INNOVATION PARK DR
BATON ROUGE, LA 70820-7006
Phone number: 225-343-4232
Copy
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