KEANU LOGAN RIVERA

SHAKOPEE, MN
NPI1952168171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
KEANU LOGAN RIVERA
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379-2863
Phone number: 612-509-6681
Mailing Address
KEANU LOGAN RIVERA
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379-2863
Phone number:
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