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1245017771
JASON MIZAK
CORVALLIS, OR
NPI
1245017771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR RBT-23-280471)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
JASON MIZAK RBT
3715 NE HIGHWAY 20
CORVALLIS, OR 97330-9209
Phone number: 303-880-3745
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Mailing Address
JASON MIZAK RBT
3715 NE HIGHWAY 20
CORVALLIS, OR 97330-9209
Phone number: 303-880-3745
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