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1154801421
CHARLES GREEN
SPOKANE, WA
NPI
1154801421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
CHARLES GREEN
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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Mailing Address
CHARLES GREEN
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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