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1114477098
FREDRICK DE'WAYNE PITTMAN
ROSENBERG, TX
NPI
1114477098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 15-08066)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- FREDRICK DE'WAYNE PITTMAN RBT
4910 AIRPORT AVE STE F
ROSENBERG, TX 77471-5759
Phone number: 281-239-1435
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Mailing Address
-- FREDRICK DE'WAYNE PITTMAN RBT
4910 AIRPORT AVE STE D
ROSENBERG, TX 77471-5759
Phone number: 281-239-1435
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