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1568030500
MIRACLE LENISE BURROUGHS
HUNTSVILLE, AL
NPI
1568030500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
MIRACLE LENISE BURROUGHS
4769 WHITESBURG DR SE STE 202
HUNTSVILLE, AL 35802-1684
Phone number: 256-666-0477
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Mailing Address
MIRACLE LENISE BURROUGHS
1500 SPARKMAN DR NW APT 15D
HUNTSVILLE, AL 35816-2671
Phone number: 214-499-7184
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