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1134728801
TREVOR FORTNER
SPOKANE, WA
NPI
1134728801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-22
Last Update Date
2020-12-01
Business Address
TREVOR FORTNER
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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Mailing Address
TREVOR FORTNER
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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