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1760972889
DANIEL PEGARSCH
CRYSTAL LAKE, IL
NPI
1760972889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-18-55676)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
DANIEL PEGARSCH RBT
163 ELLSWORTH ST
CRYSTAL LAKE, IL 60014-4454
Phone number: 224-239-6010
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Mailing Address
DANIEL PEGARSCH RBT
163 ELLSWORTH ST
CRYSTAL LAKE, IL 60014-4454
Phone number: 224-239-6010
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