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1043722507
MACIE LAINE JENKINS
CLARKSVILLE, TN
NPI
1043722507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN RBT-17-42429)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
MACIE LAINE JENKINS
851 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5257
Phone number: 931-542-2168
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Mailing Address
MACIE LAINE JENKINS
851 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5257
Phone number: 931-542-2168
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