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1679072953
MARK TEAGUE
DEARBORN, MI
NPI
1679072953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-02-01
Last Update Date
2019-04-01
Business Address
MARK TEAGUE
3231 S GULLEY RD
DEARBORN, MI 48124-4407
Phone number: 313-278-2327
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Mailing Address
MARK TEAGUE
620 GERMANTOWN PIKE
LAFAYETTE HILL, PA 19444-1810
Phone number:
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