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1043838931
BOUAGNAN JOHANN PITAH
SOUTHLAKE, TX
NPI
1043838931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT20121430)
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
BOUAGNAN JOHANN PITAH
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
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Mailing Address
BOUAGNAN JOHANN PITAH
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
Copy
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