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1366009904
DANIEL LEE NELSON
LONGVIEW, WA
NPI
1366009904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
DANIEL LEE NELSON
1445 30TH AVE
LONGVIEW, WA 98632-2707
Phone number: 360-749-1136
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Mailing Address
DANIEL LEE NELSON
1445 30TH AVE
LONGVIEW, WA 98632-2707
Phone number: 360-749-1136
Copy
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