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1205610524
MALLORY ELAINE OSTERHOLTZ
DUPONT, WA
NPI
1205610524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
MALLORY ELAINE OSTERHOLTZ
1570 WILMINGTON DR STE 220
DUPONT, WA 98327-8773
Phone number: 206-453-4882
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Mailing Address
MALLORY ELAINE OSTERHOLTZ
12514 94TH ST NE
LAKE STEVENS, WA 98258-8980
Phone number: 425-622-4231
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