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1154922201
HAILEN MATTHEW ACKERMAN
FARGO, ND
NPI
1154922201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
HAILEN MATTHEW ACKERMAN
4725 AMBER VALLEY PKWY S STE B
FARGO, ND 58104-8614
Phone number: 701-478-0221
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Mailing Address
HAILEN MATTHEW ACKERMAN
4725 AMBER VALLEY PKWY S STE B
FARGO, ND 58104-8614
Phone number:
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