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1053024620
SHALISE ALEXANDRA FOX
RALEIGH, NC
NPI
1053024620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
SHALISE ALEXANDRA FOX
3210 STREAM SIDE RD APT 25
RALEIGH, NC 27613-8911
Phone number: 984-349-2270
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Mailing Address
SHALISE ALEXANDRA FOX
1200 LAKE FRONT DR APT B
RALEIGH, NC 27613-3468
Phone number:
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