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1508622028
KIANTE BULLARD
FAYETTEVILLE, NC
NPI
1508622028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
KIANTE BULLARD
920 CAMBRIDGE ST
FAYETTEVILLE, NC 28303-5300
Phone number: 910-493-3555
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Mailing Address
KIANTE BULLARD
920 CAMBRIDGE ST
FAYETTEVILLE, NC 28303-5300
Phone number: 910-493-3555
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