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1154647915
PHILIP ANDREW RUNFELDT
COCOA, FL
NPI
1154647915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 0-09-3692)
Enumeration Date
2010-04-19
Last Update Date
2010-04-19
Business Address
Mr. PHILIP ANDREW RUNFELDT BCABA
550 SAINT JOHNS ST
COCOA, FL 32922-7241
Phone number: 321-639-9800
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Mailing Address
Mr. PHILIP ANDREW RUNFELDT BCABA
PO BOX 410286
MELBOURNE, FL 32941-0286
Phone number: 321-441-3925
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