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1154039238
TRAVIS GATES
CHAMPAIGN, IL
NPI
1154039238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
TRAVIS GATES RBT
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821-1849
Phone number: 574-387-4313
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Mailing Address
TRAVIS GATES RBT
1827 E IRELAND RD
SOUTH BEND, IN 46614-2845
Phone number: 574-387-4313
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