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1326787185
AUDIANNA BASCOM
ATLANTA, IN
NPI
1326787185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-31
Last Update Date
2025-03-24
Business Address
AUDIANNA BASCOM
29101 N STATE ROAD 19
ATLANTA, IN 46031-9443
Phone number: 317-918-2689
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Mailing Address
AUDIANNA BASCOM
29101 N STATE ROAD 19
ATLANTA, IN 46031-9443
Phone number: 317-918-2689
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