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1578149795
REBECCA MATENS
SHREVEPORT, LA
NPI
1578149795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-8159)
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
REBECCA MATENS
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
REBECCA MATENS
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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