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1093280141
DWALLA LYNISE THOMAS
CHARLOTTE, NC
NPI
1093280141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
DWALLA LYNISE THOMAS
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-708-4271
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Mailing Address
DWALLA LYNISE THOMAS
5630 PACES GLEN AVE APT 1111
CHARLOTTE, NC 28212-1643
Phone number:
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