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1790522381
LISSETTE BLANCO
IRVING, TX
NPI
1790522381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
LISSETTE BLANCO
320 DECKER DR
IRVING, TX 75062-3999
Phone number: 855-832-6727
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Mailing Address
LISSETTE BLANCO
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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