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1053970269
LISANNE JENEL PADMORE
FREDERICKSBURG, VA
NPI
1053970269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
LISANNE JENEL PADMORE
1411 PRINCESS ANNE ST
FREDERICKSBURG, VA 22401-3832
Phone number: 540-922-1110
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Mailing Address
LISANNE JENEL PADMORE
526 HIGH ST APT 203
PETERSBURG, VA 23803-3832
Phone number: 732-713-0519
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