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1366088940
LOGAN T SMEAD
FORT WAYNE, IN
NPI
1366088940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-19-94089)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
LOGAN T SMEAD
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
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Mailing Address
LOGAN T SMEAD
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
Copy
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