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1225743156
CAROL JEAN LAXAGUE
SPOKANE, WA
NPI
1225743156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
CAROL JEAN LAXAGUE
1720 N HAMILTON ST
SPOKANE, WA 99207-2474
Phone number: 360-240-0022
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Mailing Address
CAROL JEAN LAXAGUE
1720 N HAMILTON ST
SPOKANE, WA 99207-2474
Phone number: 360-240-0022
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