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1982440103
JONATHAN ALEXIS LARA
CHICAGO, IL
NPI
1982440103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
JONATHAN ALEXIS LARA
2248 S MICHIGAN AVE
CHICAGO, IL 60616-5258
Phone number: 312-672-1165
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Mailing Address
JONATHAN ALEXIS LARA
2248 S MICHIGAN AVE
CHICAGO, IL 60616-5258
Phone number: 312-286-2444
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