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1154048429
AGOSTINHO ANTONIO MONTEMOR
SNOHOMISH, WA
NPI
1154048429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
AGOSTINHO ANTONIO MONTEMOR
2621 BICKFORD AVE STE C
SNOHOMISH, WA 98290-1736
Phone number: 360-217-8168
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Mailing Address
AGOSTINHO ANTONIO MONTEMOR
11306 13TH ST SE
LAKE STEVENS, WA 98258-7987
Phone number: 360-348-0794
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