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1053967588
MIKEAL HERRELL
NEWBURGH, IN
NPI
1053967588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-18-48096)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
MIKEAL HERRELL
4655 ROSEBUD LN
NEWBURGH, IN 47630-9366
Phone number: 812-213-8031
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Mailing Address
MIKEAL HERRELL
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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