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1407514300
LOGAN BRICAULT
FORT WAYNE, IN
NPI
1407514300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
LOGAN BRICAULT
2825 HILLEGAS RD
FORT WAYNE, IN 46808-3859
Phone number: 260-338-1241
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Mailing Address
LOGAN BRICAULT
4935 HILLEGAS RD
FORT WAYNE, IN 46818-1906
Phone number: 260-338-1241
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