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1952015174
SARA GRACE COULTER
FORT WAYNE, IN
NPI
1952015174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-154550)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
SARA GRACE COULTER RBT
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806-1738
Phone number: 260-255-3665
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Mailing Address
SARA GRACE COULTER RBT
3306 VANTAGE POINT DR APT 3B
FORT WAYNE, IN 46825-7311
Phone number: 317-730-5796
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