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1073349734
CARLIE MARIE JOHANNINGMEIER
DAVENPORT, IA
NPI
1073349734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IA RBT-24-375780)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
CARLIE MARIE JOHANNINGMEIER
4959 UTICA RIDGE RD
DAVENPORT, IA 52807-3063
Phone number: 563-362-9631
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Mailing Address
CARLIE MARIE JOHANNINGMEIER
4959 UTICA RIDGE RD
DAVENPORT, IA 52807-3063
Phone number:
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