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1073192068
CRISTOFER WALLBERG
LAKEVILLE, MN
NPI
1073192068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2021-04-06
Last Update Date
2022-04-22
Business Address
CRISTOFER WALLBERG
10450 185TH ST W STE 100
LAKEVILLE, MN 55044-6696
Phone number: 612-509-1283
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Mailing Address
CRISTOFER WALLBERG
10450 185TH ST W STE 100
LAKEVILLE, MN 55044-6696
Phone number: 952-923-8607
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