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1255171633
SAMARA GRISSOM
COLUMBUS, IN
NPI
1255171633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-188553)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
SAMARA GRISSOM
4070 25TH ST
COLUMBUS, IN 47203-3161
Phone number: 812-373-6103
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Mailing Address
SAMARA GRISSOM
1019 FRANKLIN ST APT 1
COLUMBUS, IN 47201-5786
Phone number: 812-341-7615
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