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1063624252
JUAN PADILLA
MOSES LAKE, WA
NPI
1063624252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00057947)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- JUAN PADILLA BA
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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Mailing Address
-- JUAN PADILLA BA
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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