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1962240002
ALISSA CARLISLE
JACKSON, MI
NPI
1962240002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
ALISSA CARLISLE
1111 W GANSON ST
JACKSON, MI 49202-4208
Phone number: 810-584-1383
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Mailing Address
ALISSA CARLISLE
5705 MOSCOW RD
HORTON, MI 49246-9509
Phone number:
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