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1295210508
JACKLYN TANIS
MERRILLVILLE, IN
NPI
1295210508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-02
Last Update Date
2024-02-01
Business Address
JACKLYN TANIS
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
JACKLYN TANIS
126 E MAIN AVE
ZEELAND, MI 49464-1736
Phone number: 616-900-5001
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