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1013503770
MAIYA N RUSSELL
KNOXVILLE, TN
NPI
1013503770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN RBT-20-147214)
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
MAIYA N RUSSELL RBT
9038 CROSS PARK DR STE 105
KNOXVILLE, TN 37923-4729
Phone number: 865-394-6612
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Mailing Address
MAIYA N RUSSELL RBT
9038 CROSS PARK DR STE 105
KNOXVILLE, TN 37923-4729
Phone number: 865-394-6612
Copy
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