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1861109761
TRACE CRAIG
DULUTH, GA
NPI
1861109761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-31
Last Update Date
2022-11-01
Business Address
TRACE CRAIG
2810 PREMIERE PKWY
DULUTH, GA 30097-5014
Phone number: 866-523-4268
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Mailing Address
TRACE CRAIG
DEPT LA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268
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