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1023884863
ANTONIO IGNACIO-DE DIOS
MOUNT VERNON, WA
NPI
1023884863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
ANTONIO IGNACIO-DE DIOS
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273-5633
Phone number: 360-755-6405
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Mailing Address
ANTONIO IGNACIO-DE DIOS
1216 S 13TH ST
MOUNT VERNON, WA 98274-5102
Phone number:
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