WILLIAM JEFFERY DEATHERAGE

KENNEWICK, WA
NPI1023215266
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: WA  cp00003184)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
Mr. WILLIAM JEFFERY DEATHERAGE cdp
6725 W CLEARWATER AVE STE B
KENNEWICK, WA 99336-1724
Phone number: 509-735-6900
Mailing Address
Mr. WILLIAM JEFFERY DEATHERAGE cdp
1735 SAGEWOOD ST NA
RICHLAND, WA 99352-9679
Phone number: 509-851-8507
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