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1154999266
LARENSA GWINN
PRATTVILLE, AL
NPI
1154999266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
LARENSA GWINN
114 MEDICAL CENTER DR
PRATTVILLE, AL 36066-7286
Phone number: 334-491-3020
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Mailing Address
LARENSA GWINN
114 MEDICAL CENTER DR
PRATTVILLE, AL 36066-7286
Phone number: 334-491-3020
Copy
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