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Individual

KAYLIN DEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 E CAPITOL AVE STE 200, BISMARCK, ND 58501-2001
(701) 204-7870
Mailing address
5408 APPLE CREEK DR, BISMARCK, ND 58504-3175

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-35567
ND

Other

Enumeration date
08/21/2017
Last updated
08/21/2017
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