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1538707070
CASSIDY PHOENIX ELA BAUER
WINONA, MN
NPI
1538707070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
CASSIDY PHOENIX ELA BAUER
223 CENTER ST
WINONA, MN 55987-3595
Phone number: 507-474-4840
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Mailing Address
CASSIDY PHOENIX ELA BAUER
1509 SOUTHCROSS DR W
BURNSVILLE, MN 55306-6945
Phone number: 952-491-9810
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