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1164191094
SERENE AHLEE SPARKS
VANCOUVER, WA
NPI
1164191094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
SERENE AHLEE SPARKS
720 SE 160TH AVE # 154
VANCOUVER, WA 98684-8911
Phone number: 866-523-4268
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Mailing Address
SERENE AHLEE SPARKS
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 866-532-4268
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