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1215694153
ELIJAH ALLAN KENITZ
OTSEGO, MI
NPI
1215694153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-28
Last Update Date
2021-11-28
Business Address
ELIJAH ALLAN KENITZ
115 W ALLEGAN ST
OTSEGO, MI 49078-1115
Phone number: 844-244-1818
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Mailing Address
ELIJAH ALLAN KENITZ
1500 S DOUGLAS RD STE 230
CORAL GABLES, FL 33134-4108
Phone number: 844-854-1116
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