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1518630052
ROSE KATIE MASSENAT
DALLAS, GA
NPI
1518630052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
ROSE KATIE MASSENAT
296 MERCHANTS SQ
DALLAS, GA 30132-5029
Phone number: 470-668-4536
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Mailing Address
ROSE KATIE MASSENAT
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580
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