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1366113797
LEVI JAMES WADDELL
ROCHESTER, MN
NPI
1366113797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
LEVI JAMES WADDELL
400 1ST AVE NW APT 407
ROCHESTER, MN 55901-3344
Phone number: 605-408-6586
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Mailing Address
LEVI JAMES WADDELL
400 1ST AVE NW APT 407
ROCHESTER, MN 55901-3344
Phone number: 605-408-6586
Copy
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