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1033756945
NELLY BERENICE WADE
AMARILLO, TX
NPI
1033756945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-19-79966)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
NELLY BERENICE WADE RBT
6031 BELL ST
AMARILLO, TX 79109-6618
Phone number: 806-567-5845
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Mailing Address
NELLY BERENICE WADE RBT
2414 6TH AVE APT B
CANYON, TX 79015-4190
Phone number: 832-489-8852
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