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1902290653
IDELL BLAKE
NORTH LAS VEGAS, NV
NPI
1902290653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NV 1401687641)
Enumeration Date
2015-03-20
Last Update Date
2015-03-20
Business Address
-- IDELL BLAKE
1916 TOSCANINI WAY
NORTH LAS VEGAS, NV 89032-0651
Phone number: 702-690-5422
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Mailing Address
-- IDELL BLAKE
1916 TOSCANINI WAY
NORTH LAS VEGAS, NV 89032-0651
Phone number: 702-690-5422
Copy
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