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1679060479
ISAAC JUNIOR WILDER
VANCOUVER, WA
NPI
1679060479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
ISAAC JUNIOR WILDER
9901 NE 7TH AVE STE C116
VANCOUVER, WA 98685-4528
Phone number: 360-571-2432
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Mailing Address
ISAAC JUNIOR WILDER
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number:
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