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1215553623
JALEN TYWON CARTER
BROOKHAVEN, GA
NPI
1215553623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
JALEN TYWON CARTER
3105 CLAIRMONT RD NE
BROOKHAVEN, GA 30329-1015
Phone number: 470-241-1353
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Mailing Address
JALEN TYWON CARTER
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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