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1710588892
HALEY NICOLE FAWNS-SIM
TACOMA, WA
NPI
1710588892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
HALEY NICOLE FAWNS-SIM
4412 6TH AVE
TACOMA, WA 98406-3500
Phone number: 253-285-7180
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Mailing Address
HALEY NICOLE FAWNS-SIM
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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