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1174008213
XIAOYAN FANG
COLUMBIA, MO
NPI
1174008213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO RBT-17-40379)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
XIAOYAN FANG
205 PORTLAND ST
COLUMBIA, MO 65201-6521
Phone number: 573-884-6052
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Mailing Address
XIAOYAN FANG
205 PORTLAND ST
COLUMBIA, MO 65201-6521
Phone number:
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