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1912788449
SJOR'MONIQUE LA'QUINTA WINBUSH
FAIRFAX, VA
NPI
1912788449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-10
Last Update Date
2023-10-17
Business Address
SJOR'MONIQUE LA'QUINTA WINBUSH
11200 WAPLES MILL RD STE 100
FAIRFAX, VA 22030-7475
Phone number: 703-237-2219
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Mailing Address
SJOR'MONIQUE LA'QUINTA WINBUSH
5965 GRAND PAVILION WAY UNIT 110
ALEXANDRIA, VA 22303-2285
Phone number: 504-428-5730
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