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1811635527
LATORIA FAIRFAX
DEARBORN, MI
NPI
1811635527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
LATORIA FAIRFAX
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188
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Mailing Address
LATORIA FAIRFAX
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188
Copy
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