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1174980163
KELLAN PONTAROLO
SEATTLE, WA
NPI
1174980163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- KELLAN PONTAROLO
888 WESTERN AVENUE APT. 815
SEATTLE, WA 98104
Phone number: 307-532-1946
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Mailing Address
-- KELLAN PONTAROLO
888 WESTERN AVE APT 815
SEATTLE, WA 98104-1545
Phone number:
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