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1619708906
TIA NICHOLE TACKETT
MUNCIE, IN
NPI
1619708906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
TIA NICHOLE TACKETT
2101 W ENTERPRISE AVE
MUNCIE, IN 47304-5839
Phone number: 765-892-7140
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Mailing Address
TIA NICHOLE TACKETT
2101 W ENTERPRISE AVE
MUNCIE, IN 47304-5839
Phone number:
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