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1033626676
JOHNATHON BEATRICE
MUNCIE, IN
NPI
1033626676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN 16-23847)
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
JOHNATHON BEATRICE
4008 N ROSEWOOD AVE
MUNCIE, IN 47304-1775
Phone number: 765-587-4895
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Mailing Address
JOHNATHON BEATRICE
4008 N ROSEWOOD AVE
MUNCIE, IN 47304-1775
Phone number: 765-587-4895
Copy
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