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1508535162
WYATT THOMAS BROOKS
MINNETONKA, MN
NPI
1508535162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MN RBT-20-135436)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
MR. WYATT THOMAS BROOKS MHP, RBT
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343-9144
Phone number: 952-401-9359
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Mailing Address
MR. WYATT THOMAS BROOKS MHP, RBT
1918 NEWTON AVE N
MINNEAPOLIS, MN 55411-2461
Phone number: 608-436-1463
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