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1790480903
IVETTE MARIA BACALLAO LLANIO
LAS VEGAS, NV
NPI
1790480903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-263248)
Enumeration Date
2023-04-05
Last Update Date
2023-08-08
Business Address
IVETTE MARIA BACALLAO LLANIO
5020 S RAINBOW BLVD UNIT 203
LAS VEGAS, NV 89118-0661
Phone number: 178-639-4095
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Mailing Address
IVETTE MARIA BACALLAO LLANIO
5020 S RAINBOW BLVD UNIT 203
LAS VEGAS, NV 89118-0661
Phone number: 178-639-4095
Copy
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