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1144963968
GRACIE ANN LOPEZ
LIVE OAK, TX
NPI
1144963968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-22-212474)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
GRACIE ANN LOPEZ
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
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Mailing Address
GRACIE ANN LOPEZ
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
Copy
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