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1831821198
BRIAN KEENTH TATUM
SAGINAW, MI
NPI
1831821198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
BRIAN KEENTH TATUM
5451 HAMPTON PL
SAGINAW, MI 48604-9284
Phone number: 989-252-7044
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Mailing Address
BRIAN KEENTH TATUM
2521 N ELMS RD
FLUSHING, MI 48433-9423
Phone number: 866-498-3909
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