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1184388282
JATAE BAZEMORE
BALTIMORE, MD
NPI
1184388282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
JATAE BAZEMORE
400 E PRATT ST FL 8
BALTIMORE, MD 21202-3180
Phone number: 833-599-2560
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Mailing Address
JATAE BAZEMORE
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 833-599-2560
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