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1831776921
MANUELA FUNGATE
CHARLOTTE, NC
NPI
1831776921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
MANUELA FUNGATE
420 HAWTHORNE LN
CHARLOTTE, NC 28204-2312
Phone number: 704-780-4271
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Mailing Address
MANUELA FUNGATE
16201 COZY COVE RD
CHARLOTTE, NC 28278-9010
Phone number: 704-780-4271
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