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Individual
VINCENT CARNELL WOMACK
Active
Individual
VINCENT CARNELL WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-04128
NV
Other
Enumeration date
03/23/2017
Last updated
06/11/2019
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