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1124699954
TARA NICOLE JOHNSON
THE DALLES, OR
NPI
1124699954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
TARA NICOLE JOHNSON
401 E 3RD ST STE 101
THE DALLES, OR 97058-2563
Phone number: 541-298-2101
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Mailing Address
TARA NICOLE JOHNSON
401 E 3RD ST STE 101
THE DALLES, OR 97058-2563
Phone number: 541-298-2101
Copy
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