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1306548870
ALEX GAVIN LAFORGE
KNOXVILLE, TN
NPI
1306548870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
ALEX GAVIN LAFORGE RBT
3000 LEGACY POINTE WAY APT 531
KNOXVILLE, TN 37921-2177
Phone number: 865-898-6445
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Mailing Address
ALEX GAVIN LAFORGE RBT
3000 LEGACY POINTE WAY APT 531
KNOXVILLE, TN 37921-2177
Phone number: 865-898-6445
Copy
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