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1144795097
JACOB SIMPSON
SOUTHGATE, MI
NPI
1144795097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
JACOB SIMPSON
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7705
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Mailing Address
JACOB SIMPSON
266 SPRUCE ST
WYANDOTTE, MI 48192-4036
Phone number:
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