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Individual

LISA DIANE ALFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
509 YELLOW JACKET RD, DAYTON, NV 89403-8081
(775) 287-5359
Mailing address
750 E STILLWATER AVE SPC 1, FALLON, NV 89406-4060
(775) 287-7013

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/26/2017
Last updated
12/26/2017
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