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1073120200
MALYSSA L HOLLEY
FORT WAYNE, IN
NPI
1073120200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
MALYSSA L HOLLEY RBT
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-755-1438
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Mailing Address
MALYSSA L HOLLEY RBT
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-755-1438
Copy
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