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1740062074
WEDGE LAZENBY
MURFREESBORO, TN
NPI
1740062074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-22-243250)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
WEDGE LAZENBY
527 N MAPLE ST
MURFREESBORO, TN 37130-2833
Phone number: 615-205-3507
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Mailing Address
WEDGE LAZENBY
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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