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1194564310
KATELYN ALEXIS AMBROSE
SOUTH PORTLAND, ME
NPI
1194564310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MA SA5610090)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
KATELYN ALEXIS AMBROSE
50 DONALD B DEAN DR
SOUTH PORTLAND, ME 04106-3373
Phone number: 207-274-2528
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Mailing Address
KATELYN ALEXIS AMBROSE
50 DONALD B DEAN DR
SOUTH PORTLAND, ME 04106-3373
Phone number: 207-274-2528
Copy
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