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1770125080
ROBERT LONG
BENTON HARBOR, MI
NPI
1770125080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
ROBERT LONG
1651 E NICKERSON AVE
BENTON HARBOR, MI 49022-2469
Phone number: 269-983-5833
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Mailing Address
ROBERT LONG
1651 E NICKERSON AVE
BENTON HARBOR, MI 49022-2469
Phone number: 269-983-5833
Copy
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