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1629788518
EDWARD A PRUSKE
LIVE OAK, TX
NPI
1629788518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
EDWARD A PRUSKE
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
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Mailing Address
EDWARD A PRUSKE
7608 NARROW PASS ST
LIVE OAK, TX 78233-3019
Phone number: 210-714-3545
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