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1306403233
LAKEN CRAIG ALLES
DRIGGS, ID
NPI
1306403233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: ID RBT-19-87844)
Enumeration Date
2019-05-27
Last Update Date
2019-05-27
Business Address
LAKEN CRAIG ALLES RBT
30 E LITTLE AVE
DRIGGS, ID 83422-5138
Phone number: 307-257-5487
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Mailing Address
LAKEN CRAIG ALLES RBT
PO BOX 11231
JACKSON, WY 83002-1231
Phone number: 804-614-5853
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