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1598440018
BRYAN JOHNSON
OAK LAWN, IL
NPI
1598440018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-21
Last Update Date
2024-01-18
Business Address
BRYAN JOHNSON
9115 S CICERO AVE
OAK LAWN, IL 60453-1895
Phone number: 773-449-0859
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Mailing Address
BRYAN JOHNSON
14840 SHEPARD DR
DOLTON, IL 60419-2467
Phone number: 773-449-0859
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