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1962025122
OCTAVIA BANKS
CHARLOTTE, NC
NPI
1962025122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
OCTAVIA BANKS
3000 LATROBE DR
CHARLOTTE, NC 28211-5226
Phone number: 704-780-4271
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Mailing Address
OCTAVIA BANKS
3043 HUBBARD RD
CHARLOTTE, NC 28269-2119
Phone number: 717-318-6695
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