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1982301305
DEANNA GANGSTAD
BEAVERTON, OR
NPI
1982301305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
DEANNA GANGSTAD
1800 NW 169TH PL STE B100
BEAVERTON, OR 97006-7362
Phone number: 866-727-8274
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Mailing Address
DEANNA GANGSTAD
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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