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1063131126
JONATHAN ALEX ELLISON
TACOMA, WA
NPI
1063131126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
Mr. JONATHAN ALEX ELLISON
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number: 253-207-4301
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Mailing Address
Mr. JONATHAN ALEX ELLISON
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number: 253-207-4301
Copy
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