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1740602879
STACIE LANE-O'BRIEN
CEDAR RAPIDS, IA
NPI
1740602879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CO 1-13-14345)
Enumeration Date
2014-01-08
Last Update Date
2014-01-08
Business Address
STACIE LANE-O'BRIEN B.C.B.A.
8307 SPANISH RD
CEDAR RAPIDS, IA 52404-9036
Phone number: 319-330-0598
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Mailing Address
STACIE LANE-O'BRIEN B.C.B.A.
8307 SPANISH RD
CEDAR RAPIDS, IA 52404-9036
Phone number: 319-330-0598
Copy
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