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1073187324
TEQUILA JANTANA LACY
JONESBORO, AR
NPI
1073187324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
174400000X Specialist
Enumeration Date
2021-05-19
Last Update Date
2024-06-03
Business Address
TEQUILA JANTANA LACY
2808 FOX MEADOW LANE
JONESBORO, AR 72404-9346
Phone number: 870-932-4245
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Mailing Address
TEQUILA JANTANA LACY
2808 FOX MEADOW LANE
JONESBORO, AR 72404-9346
Phone number: 870-932-4245
Copy
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