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1265003495
MARK WALTER ALLEN
TRAVERSE CITY, MI
NPI
1265003495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
MARK WALTER ALLEN
10781 E CHERRY BEND RD
TRAVERSE CITY, MI 49684-5249
Phone number: 231-268-0007
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Mailing Address
MARK WALTER ALLEN
PO BOX 61
LAKE CITY, MI 49651-0061
Phone number: 231-268-0007
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