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1225685878
KELLEE NICOLE FUGMAN
VANCOUVER, WA
NPI
1225685878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
KELLEE NICOLE FUGMAN
120 NE 136TH AVE STE 220
VANCOUVER, WA 98684-6951
Phone number: 360-952-7051
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Mailing Address
KELLEE NICOLE FUGMAN
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 183-452-3458
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