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1457987174
JOHN MICHAEL WELLS
JACKSON, WY
NPI
1457987174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: ID RBT-20-115537)
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
JOHN MICHAEL WELLS
310 E BROADWAY AVE
JACKSON, WY 83001-8636
Phone number: 804-614-5853
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Mailing Address
JOHN MICHAEL WELLS
PO BOX 11231
JACKSON, WY 83002-1231
Phone number: 804-614-5853
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