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1477297265
KENDALL LOGAN NEBEKER
IDAHO FALLS, ID
NPI
1477297265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-26
Last Update Date
2024-01-04
Business Address
KENDALL LOGAN NEBEKER
4943 N 29TH E # B
IDAHO FALLS, ID 83401-1314
Phone number: 307-257-5487
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Mailing Address
KENDALL LOGAN NEBEKER
PO BOX 20310 PMB 55984
CHEYENNE, WY 82003-1970
Phone number:
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