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1700426293
GRACIA GREEN
BATON ROUGE, LA
NPI
1700426293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 18-60473)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
GRACIA GREEN
12672 BROOKSHIRE AVE
BATON ROUGE, LA 70815-6804
Phone number: 225-963-6006
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Mailing Address
GRACIA GREEN
12672 BROOKSHIRE AVE
BATON ROUGE, LA 70815-6804
Phone number: 225-963-6006
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