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1255802369
JACKIE TRIMBLE BREWER
HUNTINGTON, WV
NPI
1255802369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WV RBT-18-67317)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
JACKIE TRIMBLE BREWER RBT
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-825-8014
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Mailing Address
JACKIE TRIMBLE BREWER RBT
4848 SAMMONS RD
ASHLAND, KY 41101-6916
Phone number: 606-205-3261
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