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1639838709
MICHELE VANRYSDAM
JACKSONVILLE, FL
NPI
1639838709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-195646)
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
MICHELE VANRYSDAM MS, RBT
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258-9486
Phone number: 904-687-4012
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Mailing Address
MICHELE VANRYSDAM MS, RBT
277 SAWMILL LANDING DR
ST AUGUSTINE, FL 32086-0388
Phone number: 904-687-4012
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