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1760193320
NICOLE MARIE LAMANCUSA
RALEIGH, NC
NPI
1760193320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-05
Last Update Date
2023-04-10
Business Address
NICOLE MARIE LAMANCUSA
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607-6063
Phone number: 800-442-2762
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Mailing Address
NICOLE MARIE LAMANCUSA
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607-6063
Phone number: 800-442-2762
Copy
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