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1356101513
MIKENNA JUNE VANGELDER
SPOKANE, WA
NPI
1356101513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA 61495799)
Enumeration Date
2024-03-22
Last Update Date
2024-09-13
Business Address
MIKENNA JUNE VANGELDER CBT
1720 N HAMILTON ST
SPOKANE, WA 99207-2474
Phone number: 866-240-0808
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Mailing Address
MIKENNA JUNE VANGELDER CBT
1720 N HAMILTON ST
SPOKANE, WA 99207-2474
Phone number: 866-240-0808
Copy
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