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1194476523
TAYLOR MACK
AUGUSTA, GA
NPI
1194476523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-22-199700)
Enumeration Date
2022-01-18
Last Update Date
2023-10-27
Business Address
TAYLOR MACK RBT
1212 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1808
Phone number: 706-826-2770
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Mailing Address
TAYLOR MACK RBT
4490 WASHINGTON RD
EVANS, GA 30809-5897
Phone number: 706-826-2770
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