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1740847177
STEPHEN JACK ECCLES
CORVALLIS, OR
NPI
1740847177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
STEPHEN JACK ECCLES
TRILLIUM CHILDREN'S FARM HOME 4455 NE HWY 20
CORVALLIS, OR 97330
Phone number: 541-757-1852
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Mailing Address
STEPHEN JACK ECCLES
TRILLIUM CHILDREN'S FARM HOME 4455 NE HWY 20
CORVALLIS, OR 97330
Phone number: 541-757-1852
Copy
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