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1184391211
JESSICA LOPEZ
DOUGLASVILLE, GA
NPI
1184391211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-181854)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
JESSICA LOPEZ RBT
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135-1572
Phone number: 470-632-5276
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Mailing Address
JESSICA LOPEZ RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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