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1770219891
PANTHEON ABA, LLC
LAKE CHARLES, LA
NPI
1770219891
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Entity Type
Organization
Authorized Contact
MAGGIE MARIE KURTZUBA
Owner/Director
318-554-8348
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
PANTHEON ABA, LLC
5154 GARLAND DR APT A
LAKE CHARLES, LA 70605-6069
Phone number: 318-554-8348
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Mailing Address
PANTHEON ABA, LLC
5154 GARLAND DR APT 2
LAKE CHARLES, LA 70605-6069
Phone number: 318-554-8348
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