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1972470318
KRYSTAL GORDON
FORT WAYNE, IN
NPI
1972470318
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2025-10-21
Last Update Date
2025-10-21
Business Address
KRYSTAL GORDON
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
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Mailing Address
KRYSTAL GORDON
6131 N CLINTON ST
FORT WAYNE, IN 46825-4905
Phone number: 260-459-6040
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