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1063094431
ALICIA KOKOMOOR
FAIRBORN, OH
NPI
1063094431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OH BACB630845)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
ALICIA KOKOMOOR RBT
919 S CENTRAL AVE
FAIRBORN, OH 45324-3804
Phone number: 937-878-4614
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Mailing Address
ALICIA KOKOMOOR RBT
2358 MURPHY DR
FAIRBORN, OH 45324-2172
Phone number: 419-819-7586
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