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1972307528
JUWAN GORDON MAFFETT
MERRILLVILLE, IN
NPI
1972307528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-25-422579)
Enumeration Date
2025-04-02
Last Update Date
2025-04-02
Business Address
JUWAN GORDON MAFFETT
8398 MISSISSIPPI ST
MERRILLVILLE, IN 46410-6316
Phone number: 219-755-4049
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Mailing Address
JUWAN GORDON MAFFETT
8398 MISSISSIPPI ST
MERRILLVILLE, IN 46410-6316
Phone number: 219-755-4049
Copy
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