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1407605991
SHANTELL B LOCKE
FAYETTEVILLE, NC
NPI
1407605991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
SHANTELL B LOCKE
5948 FISHER RD STE 202
FAYETTEVILLE, NC 28304-5751
Phone number: 910-584-1993
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Mailing Address
SHANTELL B LOCKE
5948 FISHER RD STE 202
FAYETTEVILLE, NC 28304-5751
Phone number: 910-584-1993
Copy
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