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1720634421
LUCAS POLING
PORTLAND, OR
NPI
1720634421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-18
Last Update Date
2019-08-19
Business Address
LUCAS POLING
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 971-236-0915
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Mailing Address
LUCAS POLING
486 MORELLO AVE APT 225
MARTINEZ, CA 94553-6847
Phone number: 925-768-4926
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