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1124658356
E'LON MACK
VANCOUVER, WA
NPI
1124658356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-01-15
Last Update Date
2020-10-06
Business Address
E'LON MACK
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-931-1137
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Mailing Address
E'LON MACK
5500 NE 89TH AVE
VANCOUVER, WA 98662-6057
Phone number: 360-931-1137
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