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1518606185
SHAIKIREA MALASIA GORDON
RICHMOND HILL, GA
NPI
1518606185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-22-207530)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
SHAIKIREA MALASIA GORDON
10 LONG CREEK LN
RICHMOND HILL, GA 31324-8601
Phone number: 904-206-8804
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Mailing Address
SHAIKIREA MALASIA GORDON
10 LONG CREEK LN
RICHMOND HILL, GA 31324-8601
Phone number: 904-638-6388
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