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1992265144
BRENNA JOANNE LEWIS
WASILLA, AK
NPI
1992265144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AK RBT-19-78678)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
BRENNA JOANNE LEWIS
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-357-0890
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Mailing Address
BRENNA JOANNE LEWIS
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-357-0890
Copy
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