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1639882103
EZRA MAL FRY
CHATTANOOGA, TN
NPI
1639882103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: BACB874454)
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
EZRA MAL FRY
113 GOODSON AVE APT 17
CHATTANOOGA, TN 37405-4720
Phone number: 828-400-4478
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Mailing Address
EZRA MAL FRY
113 GOODSON AVE APT 17
CHATTANOOGA, TN 37405-4720
Phone number:
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