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1053076497
KATIE LYNN GREEN
TYLER, TX
NPI
1053076497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
KATIE LYNN GREEN
1910 E SE LOOP 323 # 382
TYLER, TX 75701-8337
Phone number: 214-796-7641
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Mailing Address
KATIE LYNN GREEN
3700 S CAMERON AVE
TYLER, TX 75701-9121
Phone number: 903-315-0073
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