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1013614551
KEEGHAN PATRICK-WAYNE BALL
GRAND RAPIDS, MI
NPI
1013614551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2023-02-15
Last Update Date
2023-03-08
Business Address
KEEGHAN PATRICK-WAYNE BALL
4829 E BELTLINE AVE NE STE 310
GRAND RAPIDS, MI 49525-9350
Phone number: 616-279-6414
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Mailing Address
KEEGHAN PATRICK-WAYNE BALL
4829 E BELTLINE AVE NE STE 310
GRAND RAPIDS, MI 49525-9350
Phone number: 616-279-6414
Copy
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