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Individual

ROSA FLORENCIA ALMANZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
489 27TH ST, EAST MOLINE, IL 61244-1870
(309) 755-5031
Mailing address
1202 W 3RD ST, DAVENPORT, IA 52802-1344

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104307
IA
Enumeration date
10/25/2018
Last updated
10/25/2018
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