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1780172346
CHRISTOPHER JAKOB PENIX
TRAVERSE CITY, MI
NPI
1780172346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI P520115364126)
Enumeration Date
2018-04-28
Last Update Date
2018-04-28
Business Address
CHRISTOPHER JAKOB PENIX
1363 DOUGLAS DR STE 104
TRAVERSE CITY, MI 49696-8980
Phone number: 231-668-4909
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Mailing Address
CHRISTOPHER JAKOB PENIX
5213 CHETSNUT CT
TRAVERSE CITY, MI 49686
Phone number: 231-492-4671
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