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1962968560
PATRICK JACKSON
ROCK SPRINGS, WY
NPI
1962968560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WY RBT-19-78853.)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
PATRICK JACKSON RBT
918 EISENHOWER DR
ROCK SPRINGS, WY 82901-4449
Phone number: 307-399-1793
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Mailing Address
PATRICK JACKSON RBT
918 EISENHOWER DR
ROCK SPRINGS, WY 82901-4449
Phone number:
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