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1457060824
GRACE LANG
BLOOMINGTON, IN
NPI
1457060824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN 22-243528)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
GRACE LANG RBT
1501 W TAPP RD
BLOOMINGTON, IN 47403-3459
Phone number: 812-330-4460
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Mailing Address
GRACE LANG RBT
1501 W TAPP RD
BLOOMINGTON, IN 47403-3459
Phone number: 812-330-4460
Copy
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