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1700659893
LATISHA DANIELS
RAPID CITY, SD
NPI
1700659893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SD RBT-23-308109)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
LATISHA DANIELS
2475 W CHICAGO ST
RAPID CITY, SD 57702-2467
Phone number: 605-206-5004
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Mailing Address
LATISHA DANIELS
2475 W CHICAGO ST
RAPID CITY, SD 57702-2467
Phone number: 605-206-5004
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