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1528824042
MADISON CANARY BASKIN
HATTIESBURG, MS
NPI
1528824042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MS RBT-23-264672)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
MADISON CANARY BASKIN
4229 U S HIGHWAY 11
HATTIESBURG, MS 39402-8024
Phone number: 769-355-9019
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Mailing Address
MADISON CANARY BASKIN
2058 COUNTRY CLUB RD
MCCOMB, MS 39648-5955
Phone number: 769-355-9019
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