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1669116547
COURTNEY ALEXANDRIA TATE
ATLANTA, GA
NPI
1669116547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
COURTNEY ALEXANDRIA TATE
1215 HIGHTOWER TRL STE B120
ATLANTA, GA 30350-6205
Phone number: 404-449-4193
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Mailing Address
COURTNEY ALEXANDRIA TATE
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number:
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