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1831628064
BRIAN PATRICK DEDOMINICK
SPOKANE, WA
NPI
1831628064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-10
Last Update Date
2022-07-21
Business Address
BRIAN PATRICK DEDOMINICK BA
1858 E 8TH AVE
SPOKANE, WA 99202-3410
Phone number: 509-999-5657
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Mailing Address
BRIAN PATRICK DEDOMINICK BA
1858 E 8TH AVE
SPOKANE, WA 99202-3410
Phone number: 509-999-5657
Copy
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