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1255158200
MICHAEL BANKSTON
TACOMA, WA
NPI
1255158200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
MICHAEL BANKSTON
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5937
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Mailing Address
MICHAEL BANKSTON
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number:
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