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1336767011
HOLLEY BASHAM
PEMBROKE PINES, FL
NPI
1336767011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 19-83055)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
HOLLEY BASHAM
403 SW 103RD AVE APT 304
PEMBROKE PINES, FL 33025-1881
Phone number: 954-330-7611
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Mailing Address
HOLLEY BASHAM
403 SW 103RD AVE APT 304
PEMBROKE PINES, FL 33025-1881
Phone number:
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