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1104430099
JACOB C EVANS
MERRILLVILLE, IN
NPI
1104430099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
JACOB C EVANS
8200 GEROGIA ST.
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
JACOB C EVANS
8200 GEROGIA ST.
MERRILLVILLE, IN 46410
Phone number: 219-791-1400
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