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1386326155
MYCALA KAPUSTKA
CHARLOTTE, NC
NPI
1386326155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC RBT-23-288373)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
MYCALA KAPUSTKA
8509 CROWN CRESCENT CT
CHARLOTTE, NC 28227-7733
Phone number: 706-842-5330
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Mailing Address
MYCALA KAPUSTKA
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330
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