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1154182376
MACKINZE C WALLACE
SPOKANE, WA
NPI
1154182376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA cb61483717)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
MACKINZE C WALLACE CBT
1720 N HAMILTON ST
SPOKANE, WA 99207-2474
Phone number: 360-246-4253
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Mailing Address
MACKINZE C WALLACE CBT
1421 W 8TH AVE APT 6
SPOKANE, WA 99204-3344
Phone number: 509-319-8543
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