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1275168015
JACOB BRYAN DAVIDSON
VANCOUVER, WA
NPI
1275168015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA WDL76118D13B)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
JACOB BRYAN DAVIDSON
9901 NE 7TH AVE STE C116
VANCOUVER, WA 98685-4528
Phone number: 360-571-2432
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Mailing Address
JACOB BRYAN DAVIDSON
9901 NE 7TH AVE STE C116
VANCOUVER, WA 98685-4528
Phone number: 360-571-2432
Copy
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