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Individual

OSCAR EVAN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(800) 568-5175
Mailing address
7294 COLLEGE LN, JAMESTOWN, ND 58405-1012

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14923
NV
106S00000X
Behavior Technician
ND

Other

Enumeration date
03/27/2019
Last updated
12/04/2023
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