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1407587850
SAMANTHA JO GOODIN
PEORIA, IL
NPI
1407587850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-22-218796)
Enumeration Date
2022-06-17
Last Update Date
2022-06-20
Business Address
SAMANTHA JO GOODIN
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
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Mailing Address
SAMANTHA JO GOODIN
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
Copy
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