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1457015356
TERINA S TAVARES
COLUMBUS, GA
NPI
1457015356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-21-189506)
Enumeration Date
2021-10-26
Last Update Date
2021-11-23
Business Address
TERINA S TAVARES
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 888-963-2228
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Mailing Address
TERINA S TAVARES
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 888-963-2228
Copy
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