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1093355547
KRISTA K BATES
KENNETT, MO
NPI
1093355547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
KRISTA K BATES
875 STATE ROUTE VV
KENNETT, MO 63857-9108
Phone number: 573-888-5925
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Mailing Address
KRISTA K BATES
875 STATE ROUTE VV
KENNETT, MO 63857-9108
Phone number: 573-888-5925
Copy
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