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1801381439
IRENE MEDINA
VALDOSTA, GA
NPI
1801381439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 18-58930)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
IRENE MEDINA
2225 BEMISS RD STE D
VALDOSTA, GA 31602-4819
Phone number: 800-832-9419
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Mailing Address
IRENE MEDINA
2225 BEMISS RD STE D
VALDOSTA, GA 31602-4819
Phone number:
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