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Individual

MRS. JAZZMYNE KAYE BLEDSOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
JAZZMYNE

Contact information

Practice address
1570 WILMINGTON DR, DUPONT, WA 98327-8773
(253) 507-7004
Mailing address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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