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1467047860
GABRIEL WALLACE
GREENWOOD, IN
NPI
1467047860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-17-31096)
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
GABRIEL WALLACE RBT
1701 LIBRARY BLVD STE A
GREENWOOD, IN 46142-1567
Phone number: 317-881-9923
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Mailing Address
GABRIEL WALLACE RBT
1701 LIBRARY BLVD STE A
GREENWOOD, IN 46142-1567
Phone number: 317-881-9923
Copy
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