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1659874378
MARY JANE VINCENZO
IRVING, TX
NPI
1659874378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-17-42336)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
MARY JANE VINCENZO
400 E ROYAL LN BLDG 3
IRVING, TX 75039-3540
Phone number: 855-832-6727
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Mailing Address
MARY JANE VINCENZO
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number:
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