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1609415355
JOHNNY LEE HOLT
OLYMPIA, WA
NPI
1609415355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-12-29
Last Update Date
2019-12-29
Business Address
JOHNNY LEE HOLT
3436 MARY ELDER RD NE
OLYMPIA, WA 98506-5050
Phone number: 360-528-2590
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Mailing Address
JOHNNY LEE HOLT
3436 MARY ELDER RD NE
OLYMPIA, WA 98506-5050
Phone number: 360-528-2590
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