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1104560598
CARLOS COVERDALE
MARION, IN
NPI
1104560598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-195619)
Enumeration Date
2022-04-22
Last Update Date
2022-04-22
Business Address
CARLOS COVERDALE RBT
2513 W 2ND ST
MARION, IN 46952-3241
Phone number: 765-662-0490
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Mailing Address
CARLOS COVERDALE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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