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1932765211
MICAIAH J CAUDILL
FORT WAYNE, IN
NPI
1932765211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-19-84185)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
MICAIAH J CAUDILL
10313 ABOITE CENTER RD
FORT WAYNE, IN 46804-5435
Phone number: 260-459-6040
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Mailing Address
MICAIAH J CAUDILL
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
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