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1205303187
HENESEE JACOB
LYNNWOOD, WA
NPI
1205303187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
HENESEE JACOB
4100 194TH ST SW STE 100
LYNNWOOD, WA 98036-4613
Phone number: 425-426-2761
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Mailing Address
HENESEE JACOB
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number:
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