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1609576321
AVERY JOSEPH GEORGE
SOUTHLAKE, TX
NPI
1609576321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-23-259665)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
AVERY JOSEPH GEORGE
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
AVERY JOSEPH GEORGE
1039 FRANKLIN AVE
RIVER FOREST, IL 60305-1339
Phone number: 224-240-3096
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