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1871342360
DEAISANAE SCOTT
COLUMBUS, GA
NPI
1871342360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
DEAISANAE SCOTT
7778 SCHOMBURG RD APT 923
COLUMBUS, GA 31909-1939
Phone number: 678-902-1012
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Mailing Address
DEAISANAE SCOTT
7778 SCHOMBURG RD APT 923
COLUMBUS, GA 31909-1939
Phone number: 678-902-1012
Copy
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