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1639659352
KAITLYNNE ERIN MCNUTT
MASCOUTAH, IL
NPI
1639659352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-18-1398-111311)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
KAITLYNNE ERIN MCNUTT
522 E MAIN ST
MASCOUTAH, IL 62258-2240
Phone number: 618-566-4200
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Mailing Address
KAITLYNNE ERIN MCNUTT
133 DORSET CT APT 16
EDWARDSVILLE, IL 62025-5561
Phone number: 618-606-6504
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