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1194581264
CARSON ALEXANDER SHIGO
PORTLAND, OR
NPI
1194581264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
CARSON ALEXANDER SHIGO
6631 N WILLAMETTE BLVD UNIT B
PORTLAND, OR 97203-5677
Phone number: 858-900-1140
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Mailing Address
CARSON ALEXANDER SHIGO
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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