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1447828405
AUDRA TACKETT
SPRINGFIELD, OH
NPI
1447828405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
AUDRA TACKETT
2430 VAN BUREN AVE
SPRINGFIELD, OH 45505-2555
Phone number: 303-989-8169
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Mailing Address
AUDRA TACKETT
2430 VAN BUREN AVE
SPRINGFIELD, OH 45505-2555
Phone number:
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