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1205302627
MARK DAVID FESHCHENKO
TACOMA, WA
NPI
1205302627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA FESHCMD018P0)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
MARK DAVID FESHCHENKO
4412 6TH AVE
TACOMA, WA 98406-3500
Phone number: 253-285-7180
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Mailing Address
MARK DAVID FESHCHENKO
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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