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1427661602
LYNSIE PROVOST
SAN ANGELO, TX
NPI
1427661602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-20-131463)
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
LYNSIE PROVOST RBT
136 E CONCHO AVE
SAN ANGELO, TX 76903-5947
Phone number: 325-777-2727
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Mailing Address
LYNSIE PROVOST RBT
136 E CONCHO AVE
SAN ANGELO, TX 76903-5947
Phone number: 325-777-2727
Copy
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