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1922598119
CARLOS MIYASATO
PALATINE, IL
NPI
1922598119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: 16-25393)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
CARLOS MIYASATO RBT-16-25393
1227 E PRAIRIE BROOK DR APT C3
PALATINE, IL 60074-3175
Phone number: 224-436-4964
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Mailing Address
CARLOS MIYASATO RBT-16-25393
1227 E PRAIRIE BROOK DR APT C3
PALATINE, IL 60074-3175
Phone number:
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