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1245926682
KELLY JANNEA MANTZ
VANCOUVER, WA
NPI
1245926682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB61450960)
Enumeration Date
2023-04-17
Last Update Date
2024-05-09
Business Address
KELLY JANNEA MANTZ
6409 E MILL PLAIN BLVD
VANCOUVER, WA 98661-7454
Phone number: 360-718-8376
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Mailing Address
KELLY JANNEA MANTZ
6409 E MILL PLAIN BLVD
VANCOUVER, WA 98661-7454
Phone number: 360-718-8376
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