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1659016210
IVAN IP
BELLEVUE, NE
NPI
1659016210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-28
Last Update Date
2022-10-11
Business Address
IVAN IP
1001 FORT CROOK RD N STE 204
BELLEVUE, NE 68005-4226
Phone number: 402-432-0377
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Mailing Address
IVAN IP
8300 JEFFERSON ST NE STE B
ALBUQUERQUE, NM 87113-1734
Phone number:
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