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1114799491
CHYANNE ALEXIS DAVIS
SOUTH BEND, IN
NPI
1114799491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
CHYANNE ALEXIS DAVIS
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 547-289-4831
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Mailing Address
CHYANNE ALEXIS DAVIS
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 547-289-4831
Copy
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