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1215496682
MICHELLE L GENDVIL
BEAVERTON, OR
NPI
1215496682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10167350)
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
MICHELLE L GENDVIL
16205 NW BETHANY CT STE 116
BEAVERTON, OR 97006-4687
Phone number: 971-312-5459
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Mailing Address
MICHELLE L GENDVIL
16205 NW BETHANY CT STE 116
BEAVERTON, OR 97006-4687
Phone number: 971-312-5459
Copy
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