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1760017537
DEONTAE HENDERSON
SPOKANE, WA
NPI
1760017537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
DEONTAE HENDERSON
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-559-3100
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Mailing Address
DEONTAE HENDERSON
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-559-3100
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