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1770062135
LESLIE FIVEASH
SAN ANGELO, TX
NPI
1770062135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-08-07
Last Update Date
2021-02-18
Business Address
LESLIE FIVEASH
3001 S JACKSON ST
SAN ANGELO, TX 76904-5129
Phone number: 325-793-5497
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Mailing Address
LESLIE FIVEASH
11954 LAGOON LN
SAN ANGELO, TX 76904-4008
Phone number:
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