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1538741574
MARISSA EVELYN CAVAZOS
LUBBOCK, TX
NPI
1538741574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 21157615)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
MARISSA EVELYN CAVAZOS BS
1500 BROADWAY
LUBBOCK, TX 79401-3117
Phone number: 210-722-3194
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Mailing Address
MARISSA EVELYN CAVAZOS BS
1500 BROADWAY
LUBBOCK, TX 79401-3117
Phone number: 210-722-3194
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