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1194441154
JULIA KELLY NUSBAUM
JACKSON, MS
NPI
1194441154
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Other Name
JULIA K NUSBAUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MS 220034)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
JULIA KELLY NUSBAUM RBT
4400 OLD CANTON RD STE 300
JACKSON, MS 39211-5982
Phone number: 601-815-2005
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Mailing Address
JULIA KELLY NUSBAUM RBT
504 CLINTON CENTER DRIVE CBO - SUITE 4300
CLINTON, MS 39056-5610
Phone number: 601-815-2005
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