JACKSON L COPPER

TERRE HAUTE, IN
NPI1497333223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-21-157540)
Enumeration Date2021-04-01
Last Update Date2021-04-01
Business Address
JACKSON L COPPER
1341 OHIO ST
TERRE HAUTE, IN 47807-3940
Phone number: 812-478-5437
Mailing Address
JACKSON L COPPER
7901 E 88TH ST
INDIANAPOLIS, IN 46256-1235
Phone number: 317-849-5437
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