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1386403202
KOUTA MARTIN HERNANDEZ
CHARLESTON, SC
NPI
1386403202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
KOUTA MARTIN HERNANDEZ RBT
1820 1ST DR
CHARLESTON, SC 29407-5756
Phone number: 252-347-7823
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Mailing Address
KOUTA MARTIN HERNANDEZ RBT
PO BOX 80901
CHARLESTON, SC 29416-0901
Phone number: 252-347-7823
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