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1518557081
TANNER WETZEL
PORTLAND, OR
NPI
1518557081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
TANNER WETZEL Behavioral Technicia
3535 N LOMBARD ST
PORTLAND, OR 97217-5901
Phone number: 800-273-4292
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Mailing Address
TANNER WETZEL Behavioral Technicia
11037 WARNER AVE # 339
FOUNTAIN VALLEY, CA 92708-4007
Phone number: 800-273-4292
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