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1114640950
BAXTER SPROUSE
OAK HARBOR, WA
NPI
1114640950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
BAXTER SPROUSE
851 SE PIONEER WAY STE 201
OAK HARBOR, WA 98277-5789
Phone number: 360-333-5684
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Mailing Address
BAXTER SPROUSE
PO BOX 708
MOUNT VERNON, WA 98273-0708
Phone number: 360-708-1308
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