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1811749278
LACEY JUSTINE JARVIS
NAMPA, ID
NPI
1811749278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
LACEY JUSTINE JARVIS
220 W GEORGIA AVE
NAMPA, ID 83686-2835
Phone number: 208-960-7474
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Mailing Address
LACEY JUSTINE JARVIS
220 W GEORGIA AVE
NAMPA, ID 83686-2835
Phone number: 208-960-7474
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