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1740910884
MASON RUNKLE
GREENWOOD, IN
NPI
1740910884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-22-220010)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
MASON RUNKLE RBT
21 S PARK BLVD STE 21
GREENWOOD, IN 46143-8838
Phone number: 317-449-2104
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Mailing Address
MASON RUNKLE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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