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1043781024
JASON B JOHNSTONE
BONNEY LAKE, WA
NPI
1043781024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP60288139)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
JASON B JOHNSTONE CDP
10215 214TH AVE E
BONNEY LAKE, WA 98391-3909
Phone number: 253-862-7374
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Mailing Address
JASON B JOHNSTONE CDP
13807 69TH AVENUE CT E
PUYALLUP, WA 98373-8721
Phone number: 253-691-0398
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