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1265208607
LATAJHA KEY
MACON, GA
NPI
1265208607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-304192)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
LATAJHA KEY RBT
4931 RIVERSIDE DR STE 400A
MACON, GA 31210-1195
Phone number: 478-219-7626
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Mailing Address
LATAJHA KEY RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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