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1306612148
LAUREN NICHOLE FEDORKO
FORT WORTH, TX
NPI
1306612148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX BACB956059)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
LAUREN NICHOLE FEDORKO BS, RBT
11621 BOBCAT DR
FORT WORTH, TX 76244-5512
Phone number: 214-577-6960
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Mailing Address
LAUREN NICHOLE FEDORKO BS, RBT
11621 BOBCAT DR
FORT WORTH, TX 76244-5512
Phone number: 214-577-6960
Copy
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