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1114562253
AMBER S WYNN
SHREVEPORT, LA
NPI
1114562253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
AMBER S WYNN
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
AMBER S WYNN
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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