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1003474339
HOLLY L BAYLESS DA COSTA
TACOMA, WA
NPI
1003474339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-02
Last Update Date
2019-06-02
Business Address
HOLLY L BAYLESS DA COSTA
3562 A ST
TACOMA, WA 98418-7902
Phone number: 253-376-4636
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Mailing Address
HOLLY L BAYLESS DA COSTA
3562 A ST
TACOMA, WA 98418-7902
Phone number: 253-376-4636
Copy
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