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1295202455
TYLER LEE PETTY
TACOMA, WA
NPI
1295202455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB60900703)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
TYLER LEE PETTY
3680 S CEDAR ST STE A
TACOMA, WA 98409-5728
Phone number: 253-358-0888
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Mailing Address
TYLER LEE PETTY
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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