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1235965724
MARIELLE MEDINA TIPO
PLANO, TX
NPI
1235965724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-24-376666)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
MARIELLE MEDINA TIPO
450 INDEPENDENCE PKWY STE 200
PLANO, TX 75075-8016
Phone number: 469-573-2469
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Mailing Address
MARIELLE MEDINA TIPO
3638 FIELDCREST DR
GARLAND, TX 75042-4740
Phone number: 469-516-1506
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