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1699354936
JENTRY LANGE
COLUMBUS, IN
NPI
1699354936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-162742)
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
JENTRY LANGE RBT
2222 POSHARD DR
COLUMBUS, IN 47203-1843
Phone number: 812-302-4750
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Mailing Address
JENTRY LANGE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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