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1972370393
JOHNATHAN TRENT BLANKENSHIP
OAK PARK, IL
NPI
1972370393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL RBT-23-308678)
Enumeration Date
2023-12-06
Last Update Date
2023-12-06
Business Address
JOHNATHAN TRENT BLANKENSHIP
1515 N HARLEM AVE
OAK PARK, IL 60302-1250
Phone number: 630-632-4350
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Mailing Address
JOHNATHAN TRENT BLANKENSHIP
1515 N HARLEM AVE
OAK PARK, IL 60302-1250
Phone number:
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