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1538677117
BRIAN ROMAN IWANICKI
PORTAGE, MI
NPI
1538677117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-01-17
Last Update Date
2024-05-21
Business Address
BRIAN ROMAN IWANICKI
5250 LOVERS LN STE 130
PORTAGE, MI 49002-1579
Phone number: 269-425-1536
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Mailing Address
BRIAN ROMAN IWANICKI
PO BOX 663
LAKELAND, MI 48143-0663
Phone number: 734-203-0181
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