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1174064745
TEDRA ALLEN
PORTAGE, MI
NPI
1174064745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- TEDRA ALLEN
1617 E MILHAM AVE SUITE B
PORTAGE, MI 49002-3049
Phone number: 269-303-5931
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Mailing Address
-- TEDRA ALLEN
1617 E MILHAM AVE SUITE B
PORTAGE, MI 49002-3049
Phone number:
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