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1710605936
LATRELLE M. L. KORNEGAY
KERNERSVILLE, NC
NPI
1710605936
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Former Name
LATRELLE M. L. CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
LATRELLE M. L. KORNEGAY
418 W MOUNTAIN ST STE B
KERNERSVILLE, NC 27284-2534
Phone number: 704-780-4271
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Mailing Address
LATRELLE M. L. KORNEGAY
418 W MOUNTAIN ST STE B
KERNERSVILLE, NC 27284-2534
Phone number: 704-780-4271
Copy
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