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1245825850
KELLIE NICOLE LEAGUE
PALM CITY, FL
NPI
1245825850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-113397)
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
KELLIE NICOLE LEAGUE
1765 SW CAPTAINS PL
PALM CITY, FL 34990-1747
Phone number: 772-266-8727
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Mailing Address
KELLIE NICOLE LEAGUE
6649 WOODS ISLAND CIR APT 201
PORT ST LUCIE, FL 34952-1479
Phone number: 772-333-7444
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