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1700373610
REGAN JETT JUDSON
DEARBORN, MI
NPI
1700373610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OH UP496195)
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
REGAN JETT JUDSON
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188
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Mailing Address
REGAN JETT JUDSON
9920 JACKMAN RD
TEMPERANCE, MI 48182-9629
Phone number: 734-347-6477
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