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1467189993
ANJA BASILICI
FAYETTEVILLE, NC
NPI
1467189993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: 22228092)
Enumeration Date
2022-08-04
Last Update Date
2022-08-04
Business Address
ANJA BASILICI
5948 FISHER RD STE 202
FAYETTEVILLE, NC 28304-5751
Phone number: 191-058-4199
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Mailing Address
ANJA BASILICI
5948 FISHER RD STE 202
FAYETTEVILLE, NC 28304-5751
Phone number: 191-058-4199
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