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1851990006
LAYNE D MAYHEW
FORT WAYNE, IN
NPI
1851990006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
LAYNE D MAYHEW RBT
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-755-1438
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Mailing Address
LAYNE D MAYHEW RBT
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-755-1438
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