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1114700788
DEVAUGHN WARDLAW
BELLEVUE, WA
NPI
1114700788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
DEVAUGHN WARDLAW
914 140TH AVE NE STE 201
BELLEVUE, WA 98005-3482
Phone number: 855-223-7123
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Mailing Address
DEVAUGHN WARDLAW
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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