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1023549631
GRANT BUTLER
BREMERTON, WA
NPI
1023549631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60487910)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- GRANT BUTLER CDP
4841 AUTO CENTER WAY STE 101
BREMERTON, WA 98312-4388
Phone number: 360-373-1529
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Mailing Address
-- GRANT BUTLER CDP
4841 AUTO CENTER WAY STE 101
BREMERTON, WA 98312-4388
Phone number: 360-373-1529
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