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1376227439
KABRESHA LAQUOIA FANIEL
COLUMBUS, GA
NPI
1376227439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 060903215)
Enumeration Date
2023-06-09
Last Update Date
2024-07-17
Business Address
KABRESHA LAQUOIA FANIEL
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-687-1704
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Mailing Address
KABRESHA LAQUOIA FANIEL
2537 COLE DR
COLUMBUS, GA 31906-3711
Phone number: 706-505-6927
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