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1063192656
SOPHIA RAE RICHARDSON
BRYAN, TX
NPI
1063192656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
SOPHIA RAE RICHARDSON
3841 SAGEBRIAR DR
BRYAN, TX 77802-6107
Phone number: 979-985-9503
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Mailing Address
SOPHIA RAE RICHARDSON
3841 SAGEBRIAR DR
BRYAN, TX 77802-6107
Phone number: 979-985-9503
Copy
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