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1801462023
ILEANA LOPEZ
PHOENIX, AZ
NPI
1801462023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-21-165580)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
ILEANA LOPEZ RBT
4170 N 108TH AVE
PHOENIX, AZ 85037-5469
Phone number: 480-751-1957
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Mailing Address
ILEANA LOPEZ RBT
4170 N 108TH AVE
PHOENIX, AZ 85037-5469
Phone number: 480-751-1957
Copy
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