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1003575861
DEJANEL L MCKINNIE
TAMPA, FL
NPI
1003575861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL BACB730187)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
DEJANEL L MCKINNIE
8001 BEATY GROVE DR
TAMPA, FL 33626-1602
Phone number: 813-926-5454
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Mailing Address
DEJANEL L MCKINNIE
1338 JAMBALANA DR
HOLIDAY, FL 34691-6748
Phone number: 779-302-4360
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