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1245012020
GENESIS HENRY GONZALEZ
LYNNWOOD, WA
NPI
1245012020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
GENESIS HENRY GONZALEZ
19401 40TH AVE W STE 100
LYNNWOOD, WA 98036-5600
Phone number: 657-444-9002
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Mailing Address
GENESIS HENRY GONZALEZ
19401 40TH AVE W STE 100
LYNNWOOD, WA 98036-5600
Phone number:
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