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1417437187
KELSIE BREANNA GOODWIN
SAN ANGELO, TX
NPI
1417437187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
KELSIE BREANNA GOODWIN RBT
3001 S JACKSON ST
SAN ANGELO, TX 76904-5129
Phone number: 325-793-5497
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Mailing Address
KELSIE BREANNA GOODWIN RBT
1617 IOWA AVE
SAN ANGELO, TX 76904-6888
Phone number: 702-917-9376
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