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1962131961
ALLISON SHANLEY PETRENCHAK
COLUMBUS, GA
NPI
1962131961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
ALLISON SHANLEY PETRENCHAK
1110 13TH ST
COLUMBUS, GA 31901-2246
Phone number: 912-429-4990
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Mailing Address
ALLISON SHANLEY PETRENCHAK
1110 13TH ST
COLUMBUS, GA 31901-2246
Phone number: 912-429-4990
Copy
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