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1053003160
SPENCER JON SHUMATE
CHARLOTTE, NC
NPI
1053003160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
SPENCER JON SHUMATE
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
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Mailing Address
SPENCER JON SHUMATE
4137 PIGOTT RD SW
SHALLOTTE, NC 28470-5588
Phone number: 336-590-2194
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