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1588264741
BRIAN PAUL PRUSYNSKI
PORTLAND, OR
NPI
1588264741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-27
Last Update Date
2020-11-04
Business Address
BRIAN PAUL PRUSYNSKI
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 971-236-0915
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Mailing Address
BRIAN PAUL PRUSYNSKI
6935 NE SACRAMENTO ST
PORTLAND, OR 97213-4755
Phone number: 503-421-8656
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