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1346802253
JACOB ANDERSON
VANCOUVER, WA
NPI
1346802253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-01
Last Update Date
2019-07-01
Business Address
JACOB ANDERSON
1905 DANIELS ST APT 10
VANCOUVER, WA 98660-2500
Phone number: 231-620-7445
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Mailing Address
JACOB ANDERSON
1905 DANIELS ST APT 10
VANCOUVER, WA 98660-2500
Phone number: 231-620-7445
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