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1205451713
DOMINIC MICHAEL STAMERRA
LAKEWOOD, WA
NPI
1205451713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
DOMINIC MICHAEL STAMERRA
4606 108TH ST SW
LAKEWOOD, WA 98499-4146
Phone number: 253-693-2626
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Mailing Address
DOMINIC MICHAEL STAMERRA
4606 108TH ST SW
LAKEWOOD, WA 98499-4146
Phone number: 253-693-2626
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