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1770065740
TAYLER ELYZABETH KINGHAM
ROSWELL, NM
NPI
1770065740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
TAYLER ELYZABETH KINGHAM
2511 CORTEZ CT
ROSWELL, NM 88201-3414
Phone number: 806-881-5098
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Mailing Address
TAYLER ELYZABETH KINGHAM
2511 CORTEZ CT
ROSWELL, NM 88201-3414
Phone number: 806-881-5098
Copy
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