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1548757990
ERIC JOHANNING
KOKOMO, IN
NPI
1548757990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-18-52406)
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
ERIC JOHANNING
612 E BOULEVARD
KOKOMO, IN 46902-2271
Phone number: 765-271-8088
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Mailing Address
ERIC JOHANNING
612 E BOULEVARD
KOKOMO, IN 46902-2271
Phone number: 765-271-8088
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