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1518541986
JALISA MICHELLE SMITH
SPRING LAKE, NC
NPI
1518541986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
JALISA MICHELLE SMITH ABAT
1018 N BRAGG BLVD
SPRING LAKE, NC 28390-3316
Phone number: 910-295-2609
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Mailing Address
JALISA MICHELLE SMITH ABAT
404 HOWELL ST
VANCEBORO, NC 28586-7798
Phone number: 252-772-5204
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