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1568927598
MIA GRACE SHELL
CHARLOTTE, NC
NPI
1568927598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
MIA GRACE SHELL
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-461-3037
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Mailing Address
MIA GRACE SHELL
129 GREEN ST SW
CONCORD, NC 28027-7061
Phone number: 704-401-6617
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