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1376060996
SHANE WILLIAM KNUTSON
GRAND FORKS, ND
NPI
1376060996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
SHANE WILLIAM KNUTSON
2016 S WASHINGTON ST
GRAND FORKS, ND 58201-6342
Phone number: 701-757-4200
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Mailing Address
SHANE WILLIAM KNUTSON
2016 S WASHINGTON ST
GRAND FORKS, ND 58201-6342
Phone number: 701-757-4200
Copy
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