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1023725041
SAMUEL VLADIMIR KISELMAN
VANCOUVER, WA
NPI
1023725041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA WDL546BCD03B)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
SAMUEL VLADIMIR KISELMAN
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683-1471
Phone number: 360-605-1881
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Mailing Address
SAMUEL VLADIMIR KISELMAN
4619 NE 112TH AVE
VANCOUVER, WA 98682-6698
Phone number: 206-554-9058
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