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1982178836
BRIAN T STAUB
WASILLA, AK
NPI
1982178836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AK RBT-19-75924)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
BRIAN T STAUB
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-521-0890
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Mailing Address
BRIAN T STAUB
PO BOX 521196
BIG LAKE, AK 99652-1196
Phone number: 907-854-0668
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