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1598383580
TARA BOUNKEOVISANE
MINNETONKA, MN
NPI
1598383580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
TARA BOUNKEOVISANE
5501 FELTL RD
MINNETONKA, MN 55343-3944
Phone number: 952-746-0222
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Mailing Address
TARA BOUNKEOVISANE
1509 SOUTHCROSS DR W
BURNSVILLE, MN 55306-6945
Phone number: 952-491-9810
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