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1265027460
SHAWNTIA RENEE GREEN
SPRING LAKE, NC
NPI
1265027460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
SHAWNTIA RENEE GREEN
1018 N BRAGG BLVD
SPRING LAKE, NC 28390-3316
Phone number: 910-295-2609
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Mailing Address
SHAWNTIA RENEE GREEN
1000 BITTING ST
GREENSBORO, NC 27403-2185
Phone number: 910-970-6196
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