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1891244877
KODY DEAN WALLEEN-SANDERS
LAS VEGAS, NV
NPI
1891244877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NV 177029)
Enumeration Date
2016-10-01
Last Update Date
2016-10-01
Business Address
-- KODY DEAN WALLEEN-SANDERS RBT
7261 W CHARLESTON BLVD
LAS VEGAS, NV 89117-1636
Phone number: 702-742-4248
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Mailing Address
-- KODY DEAN WALLEEN-SANDERS RBT
7261 W CHARLESTON BLVD
LAS VEGAS, NV 89117-1636
Phone number: 702-742-4248
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