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1124709134
JENELLE NICOLE BATES
JACKSONVILLE, FL
NPI
1124709134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-286392)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
JENELLE NICOLE BATES
12724 GRAN BAY PKWY W STE 41032258
JACKSONVILLE, FL 32258-9485
Phone number: 855-832-6727
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Mailing Address
JENELLE NICOLE BATES
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 772-349-6317
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