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Individual

KAELYN UKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3416 GONI RD # D132, CARSON CITY, NV 89706-8008
(702) 486-3545
Mailing address
1682 SPRUCEMONT ST, SPARKS, NV 89434-1769
(775) 682-0425

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/28/2017
Last updated
03/28/2017
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