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1295389997
JOHNNY LEE SHAFFER
DU BOIS, PA
NPI
1295389997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA BH001561)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
JOHNNY LEE SHAFFER
25 E PARK AVE
DU BOIS, PA 15801-2271
Phone number: 814-279-4823
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Mailing Address
JOHNNY LEE SHAFFER
25 E PARK AVE
DU BOIS, PA 15801-2271
Phone number: 814-279-4823
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