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1083118244
DAMIKA BUCHANAN
MACON, GA
NPI
1083118244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 18-50381)
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
DAMIKA BUCHANAN
1260 BASS ROAD
MACON, GA 31201-1061
Phone number: 478-843-5415
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Mailing Address
DAMIKA BUCHANAN
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN, KY 42104-3250
Phone number: 270-777-9283
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