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1588154397
GRACIE FAYE STALEY
TYLER, TX
NPI
1588154397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-19-97738)
Enumeration Date
2018-05-16
Last Update Date
2019-10-01
Business Address
GRACIE FAYE STALEY
1001 W SW LOOP 323
TYLER, TX 75701-9416
Phone number: 430-205-8710
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Mailing Address
GRACIE FAYE STALEY
1001 W SW LOOP 323
TYLER, TX 75701-9416
Phone number: 430-205-8710
Copy
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