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1639848203
ZANA DIMERA MALCOM
DECATUR, AL
NPI
1639848203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AL RBT21184048)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
ZANA DIMERA MALCOM
2314 6TH AVE SE STE D
DECATUR, AL 35601-6565
Phone number: 256-686-3169
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Mailing Address
ZANA DIMERA MALCOM
2314 6TH AVE SE STE D
DECATUR, AL 35601-6565
Phone number: 256-686-3169
Copy
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