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1730910035
LESLIE JASON BLAIN
COEUR D ALENE, ID
NPI
1730910035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
LESLIE JASON BLAIN
7905 N MEADOWLARK WAY STE C&D
COEUR D ALENE, ID 83815-5041
Phone number: 208-618-2593
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Mailing Address
LESLIE JASON BLAIN
7905 N MEADOWLARK WAY STE C&D
COEUR D ALENE, ID 83815-5041
Phone number: 208-618-2593
Copy
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