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1225712433
GRANT MICHAEL VANDERKLIPP
SOUTHLAKE, TX
NPI
1225712433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
GRANT MICHAEL VANDERKLIPP
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
GRANT MICHAEL VANDERKLIPP
4214 N KENMORE AVE
CHICAGO, IL 60613-1377
Phone number: 616-430-5424
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