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Individual
TELL JAMES SHORT
Active
Individual
TELL JAMES SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61539982
WA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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