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1861212540
KRISTOFFER B PHENNICIE
MECHANICSBURG, PA
NPI
1861212540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: PA RBT-24-385629)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
KRISTOFFER B PHENNICIE
5021 LOUISE DR STE C
MECHANICSBURG, PA 17055-9801
Phone number: 484-965-9966
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Mailing Address
KRISTOFFER B PHENNICIE
640 FREEDOM BUSINESS CTR DR STE 220
KING OF PRUSSIA, PA 19406-1376
Phone number: 484-965-9966
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