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1972289163
DEAIRAH LONG
BLOOMINGTON, IN
NPI
1972289163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-22-219584)
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
DEAIRAH LONG
450 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 812-269-3214
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Mailing Address
DEAIRAH LONG
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 463-234-1732
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