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1669967089
EBONY LASHA BLACKMON
CHARLOTTE, NC
NPI
1669967089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
EBONY LASHA BLACKMON
1401 E 7TH ST STE 100
CHARLOTTE, NC 28204-6301
Phone number: 704-780-4271
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Mailing Address
EBONY LASHA BLACKMON
3308 REHOBETH CHURCH RD APT Q
GREENSBORO, NC 27406-5038
Phone number: 336-987-9895
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