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1750091344
LOGAN BREONN ADAMS
MERIDIAN, ID
NPI
1750091344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-247596)
Enumeration Date
2022-12-05
Last Update Date
2024-10-02
Business Address
LOGAN BREONN ADAMS
3235 E OVERLAND RD
MERIDIAN, ID 83642-6711
Phone number: 888-392-8642
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Mailing Address
LOGAN BREONN ADAMS
2791 S TEN MILE RD
MERIDIAN, ID 83642-6509
Phone number:
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