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1639787153
KRISTYN ALYSE PEACOCK
SHREVEPORT, LA
NPI
1639787153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-6833)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
KRISTYN ALYSE PEACOCK
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
KRISTYN ALYSE PEACOCK
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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