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1972061885
COURTNEY CAROLANN CLACK
ALAMOGORDO, NM
NPI
1972061885
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Former Name
COURTNEY CAROLANN BORUNDA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-10
Last Update Date
2019-03-10
Business Address
COURTNEY CAROLANN CLACK
301 SCENIC DR APT D
ALAMOGORDO, NM 88310-4441
Phone number: 575-415-2906
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Mailing Address
COURTNEY CAROLANN CLACK
301 SCENIC DR APT D
ALAMOGORDO, NM 88310-4441
Phone number: 575-415-2906
Copy
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