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1174387062
JOAQUIN GABRIEL LANG
TACOMA, WA
NPI
1174387062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
JOAQUIN GABRIEL LANG
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5937
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Mailing Address
JOAQUIN GABRIEL LANG
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 415-336-2133
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