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1740704279
CRYSTA NADIEN GOODMAN
FAYETTEVILLE, NC
NPI
1740704279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-07-26
Last Update Date
2017-07-26
Business Address
CRYSTA NADIEN GOODMAN RBT
5948 FISHER RD
FAYETTEVILLE, NC 28304-5640
Phone number: 910-401-2870
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Mailing Address
CRYSTA NADIEN GOODMAN RBT
111 MACKENAN DR
CARY, NC 27511-7903
Phone number: 919-371-2848
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