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1396481545
KYLE SHORACK
MOUNTLAKE TERRACE, WA
NPI
1396481545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB61260414)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
KYLE SHORACK
24120 VAN RY BLVD STE 400
MOUNTLAKE TERRACE, WA 98043-5459
Phone number: 425-245-9940
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Mailing Address
KYLE SHORACK
24120 VAN RY BLVD STE 400
MOUNTLAKE TERRACE, WA 98043-5459
Phone number: 425-245-9940
Copy
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