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1932952132
MALIK ANDRE MALUTAMA
VANCOUVER, WA
NPI
1932952132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
MALIK ANDRE MALUTAMA
9901 NE 7TH AVE STE C116
VANCOUVER, WA 98685-4528
Phone number: 360-571-2432
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Mailing Address
MALIK ANDRE MALUTAMA
3909 CLARK AVE # 98661
VANCOUVER, WA 98661-6013
Phone number:
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