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1114741873
ELIANA LEATRICE TATE
FAYETTEVILLE, NC
NPI
1114741873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC 000048467424)
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
ELIANA LEATRICE TATE
592 EXECUTIVE PL
FAYETTEVILLE, NC 28305-5279
Phone number: 919-480-1020
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Mailing Address
ELIANA LEATRICE TATE
592 EXECUTIVE PL
FAYETTEVILLE, NC 28305-5279
Phone number: 919-480-1060
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