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1659918951
AMBER NICHOLE HANSEN
LOGAN, UT
NPI
1659918951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-19-90611)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
AMBER NICHOLE HANSEN
47 W 1124 N APT 2
LOGAN, UT 84341-6848
Phone number: 435-881-3519
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Mailing Address
AMBER NICHOLE HANSEN
47 W 1124 N APT 2
LOGAN, UT 84341-6848
Phone number: 435-881-3519
Copy
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