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1699358465
MICHAEL PHOENIX JAY HEFFERAN
LYNNWOOD, WA
NPI
1699358465
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Former Name
MEGAN MARIE HEFFERAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
MICHAEL PHOENIX JAY HEFFERAN
4100 194TH ST SW STE 100
LYNNWOOD, WA 98036-4613
Phone number: 425-426-2761
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Mailing Address
MICHAEL PHOENIX JAY HEFFERAN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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