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1285358267
LEVI ROACH
AUGUSTA, GA
NPI
1285358267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-22-237520)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
LEVI ROACH
101 ROSSMORE PL
AUGUSTA, GA 30909-5771
Phone number: 706-842-5330
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Mailing Address
LEVI ROACH
525 8TH ST P.O. BOX 2567
AUGUSTA, GA 30901-9998
Phone number: 706-842-5330
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