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1588023246
JOHN KELLY
BREMERTON, WA
NPI
1588023246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CG60419820)
Enumeration Date
2016-02-23
Last Update Date
2016-10-31
Business Address
Mr. JOHN KELLY
1118 POINDEXTER AVE W
BREMERTON, WA 98312-4337
Phone number: 360-204-1723
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Mailing Address
Mr. JOHN KELLY
1118 POINDEXTER AVE W
BREMERTON, WA 98312-4337
Phone number: 360-204-1723
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