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1861113987
MACY LANE BLODGETT
VANCOUVER, WA
NPI
1861113987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-07
Last Update Date
2022-09-08
Business Address
MACY LANE BLODGETT
720 SE 160TH AVE # 154
VANCOUVER, WA 98684-8911
Phone number: 866-523-4268
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Mailing Address
MACY LANE BLODGETT
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number:
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