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1801528617
ELIZABETH FERNANDEZ
COLWICH, KS
NPI
1801528617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
ELIZABETH FERNANDEZ
709 BROOKSIDE PL
COLWICH, KS 67030-9683
Phone number: 131-636-4876
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Mailing Address
ELIZABETH FERNANDEZ
709 BROOKSIDE PL
COLWICH, KS 67030-9683
Phone number: 131-636-4876
Copy
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