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1023651528
MELINDA MODAFF
GREEN BAY, WI
NPI
1023651528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
MELINDA MODAFF
1499 6TH ST
GREEN BAY, WI 54304-2252
Phone number: 920-621-7590
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Mailing Address
MELINDA MODAFF
1499 6TH ST
GREEN BAY, WI 54304-2252
Phone number: 920-621-7590
Copy
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