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1033853379
CAMILO ESPINOSA BALLEN
LYNNWOOD, WA
NPI
1033853379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG61261094)
Enumeration Date
2022-04-22
Last Update Date
2022-04-22
Business Address
Mr. CAMILO ESPINOSA BALLEN
4111 ALDERWOOD BLVD
LYNNWOOD, WA 98036-6765
Phone number: 425-977-2560
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Mailing Address
Mr. CAMILO ESPINOSA BALLEN
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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