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1497268403
MICAH PRIDMORE
SPOKANE, WA
NPI
1497268403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
MICAH PRIDMORE
1819 E SPRINGFIELD AVE
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
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Mailing Address
MICAH PRIDMORE
1819 E SPRINGFIELD AVE
SPOKANE, WA 99202-2954
Phone number: 509-999-5657
Copy
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