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1073361374
SHANTICA LANAI VENSON
LITHONIA, GA
NPI
1073361374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 061902402)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
SHANTICA LANAI VENSON
6175 CHARRING CROSS CT
LITHONIA, GA 30058-7965
Phone number: 412-758-7404
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Mailing Address
SHANTICA LANAI VENSON
6175 CHARRING CROSS CT
LITHONIA, GA 30058-7965
Phone number: 412-758-7404
Copy
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