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1003640517
THOMAS IZAYAH CHARLES
YAKIMA, WA
NPI
1003640517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
THOMAS IZAYAH CHARLES
505 S 4TH AVE
YAKIMA, WA 98902-3547
Phone number: 509-575-4084
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Mailing Address
THOMAS IZAYAH CHARLES
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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