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1740895184
ALEXANDRA WALLIS
KISSIMMEE, FL
NPI
1740895184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-12
Last Update Date
2020-09-12
Business Address
ALEXANDRA WALLIS
2701 MICHIGAN AVE STE J
KISSIMMEE, FL 34744-1214
Phone number: 321-355-3904
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Mailing Address
ALEXANDRA WALLIS
13500 TURTLE MARSH LOOP APT 823
ORLANDO, FL 32837-6633
Phone number: 912-659-9442
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