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1720759160
RODERICK BERNARD JOLIVETTE
MARIETTA, GA
NPI
1720759160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
Mr. RODERICK BERNARD JOLIVETTE
137 JOHNSON FERRY RD STE 2170
MARIETTA, GA 30068-4948
Phone number: 855-543-2002
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Mailing Address
Mr. RODERICK BERNARD JOLIVETTE
6645 WOODROW AVE APT A
DOUGLASVILLE, GA 30134-1765
Phone number: 229-881-9152
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