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1932817004
GINA MARIE SORENSEN
IDAHO FALLS, ID
NPI
1932817004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: ID 1-18-31788)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
GINA MARIE SORENSEN BCBA
2222 TETON PLZ STE 2
IDAHO FALLS, ID 83404-6485
Phone number: 208-360-9654
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Mailing Address
GINA MARIE SORENSEN BCBA
2222 TETON PLZ STE 2
IDAHO FALLS, ID 83404-6485
Phone number: 208-360-9654
Copy
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