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1992047062
JOSH RYAN BURGESON
CORVALLIS, OR
NPI
1992047062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2013-03-26
Last Update Date
2013-03-26
Business Address
Mr. JOSH RYAN BURGESON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-757-1852
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Mailing Address
Mr. JOSH RYAN BURGESON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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