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1053895219
LACEY A KUNGAS
SPOKANE, WA
NPI
1053895219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
LACEY A KUNGAS
4324 N JEFFERSON ST
SPOKANE, WA 99205-1209
Phone number: 509-315-8682
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Mailing Address
LACEY A KUNGAS
4324 N JEFFERSON ST
SPOKANE, WA 99205-1209
Phone number: 509-315-8682
Copy
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