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1962173054
JIM OGLE
FIFE, WA
NPI
1962173054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
JIM OGLE
2150 FREEMAN RD E STE 1
FIFE, WA 98424-3776
Phone number: 253-922-7833
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Mailing Address
JIM OGLE
2150 FREEMAN RD E STE 1
FIFE, WA 98424-3776
Phone number: 253-922-7833
Copy
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