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1043793128
NEIL JUNIOR CORTEZ
TACOMA, WA
NPI
1043793128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60807647)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
NEIL JUNIOR CORTEZ
5915 ORCHARD ST W
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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Mailing Address
NEIL JUNIOR CORTEZ
5915 ORCHARD ST W
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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