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1235914011
TYSIA E BUCHANAN
CHICAGO, IL
NPI
1235914011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-23-294409)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
TYSIA E BUCHANAN
4451 N HAMLIN AVE APT 3
CHICAGO, IL 60625-9545
Phone number: 812-893-1469
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Mailing Address
TYSIA E BUCHANAN
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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