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1629747415
TATUM FULFORD
LITCHFIELD PARK, AZ
NPI
1629747415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-21-183611)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
TATUM FULFORD RBT
5220 N DYSART RD BLDG C
LITCHFIELD PARK, AZ 85340-3045
Phone number: 623-244-9179
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Mailing Address
TATUM FULFORD RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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