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1902307168
LAQUISHA MODOCK
NOVI, MI
NPI
1902307168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
LAQUISHA MODOCK
41521 W 11 MILE RD
NOVI, MI 48375-1803
Phone number: 248-299-0030
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Mailing Address
LAQUISHA MODOCK
15028 PLAIN WAY
ROMULUS, MI 48174-3260
Phone number:
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