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1982173795
AMANDA MAE COFFREN
IRVING, TX
NPI
1982173795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-18-63140)
Enumeration Date
2018-11-21
Last Update Date
2018-11-26
Business Address
AMANDA MAE COFFREN
400 E ROYAL LN BLDG 3
IRVING, TX 75039-3540
Phone number: 469-249-8410
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Mailing Address
AMANDA MAE COFFREN
2700 CEDAR CREEK LN APT 1217
DENTON, TX 76210-2109
Phone number: 608-359-5861
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