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1912645599
ETHAN JAMES JARVIS
BELLEVUE, WA
NPI
1912645599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
ETHAN JAMES JARVIS
1722 138TH PL NE
BELLEVUE, WA 98005-2367
Phone number: 425-326-1545
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Mailing Address
ETHAN JAMES JARVIS
1722 138TH PL NE
BELLEVUE, WA 98005-2367
Phone number: 425-326-1545
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