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1215617808
MARANDA JACK
FAYETTEVILLE, NC
NPI
1215617808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC RBT-23-284094)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
MARANDA JACK
568 SANDHURST DR
FAYETTEVILLE, NC 28304-4426
Phone number: 910-484-1711
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Mailing Address
MARANDA JACK
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303-5283
Phone number: 910-484-1711
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