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1023573839
ELMER MCBRIDE
LACEY, WA
NPI
1023573839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB60899203)
Enumeration Date
2019-02-06
Last Update Date
2019-02-06
Business Address
ELMER MCBRIDE CBT
8284 28TH CT NE
LACEY, WA 98516-7161
Phone number: 360-915-6868
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Mailing Address
ELMER MCBRIDE CBT
4405 5TH AVE NW
OLYMPIA, WA 98502-8188
Phone number:
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