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1619651783
LUCAS D DUDERSTADT
TUCSON, AZ
NPI
1619651783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-23-276190)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
LUCAS D DUDERSTADT MS, RBT
9302 E 22ND ST
TUCSON, AZ 85710-7342
Phone number: 520-278-5758
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Mailing Address
LUCAS D DUDERSTADT MS, RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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