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1922885177
BREONNA MONET LISENBY
WINSTON SALEM, NC
NPI
1922885177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
BREONNA MONET LISENBY
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
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Mailing Address
BREONNA MONET LISENBY
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
Copy
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