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1679185433
ANTHONY D WOOTEN
HINESVILLE, GA
NPI
1679185433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-20-132169)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
ANTHONY D WOOTEN
938 ELMA G MILES PKWY
HINESVILLE, GA 31313-4515
Phone number: 912-294-4055
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Mailing Address
ANTHONY D WOOTEN
938 ELMA G MILES PKWY
HINESVILLE, GA 31313-4515
Phone number: 912-294-4055
Copy
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