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1619754215
ELTA LYNNE GIPSON
KENNESAW, GA
NPI
1619754215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
ELTA LYNNE GIPSON
3871 STONE LAKE DR NW
KENNESAW, GA 30152-6938
Phone number: 404-295-0200
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Mailing Address
ELTA LYNNE GIPSON
3871 STONE LAKE DR NW
KENNESAW, GA 30152-6938
Phone number: 404-295-0200
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