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1952933459
KANISHA DAVIS
WEST LAFAYETTE, IN
NPI
1952933459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
KANISHA DAVIS
2555 YEAGER RD
WEST LAFAYETTE, IN 47906-1335
Phone number: 317-249-2242
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Mailing Address
KANISHA DAVIS
12650 HAMILTON CROSSING BLVD
CARMEL, IN 46032-5400
Phone number: 703-727-7414
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