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1093254351
ALFRED OCAMPO
RENTON, WA
NPI
1093254351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60665075)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
Mr. ALFRED OCAMPO
15 S GRADY WAY 249
RENTON, WA 98057-3220
Phone number: 253-229-9452
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Mailing Address
Mr. ALFRED OCAMPO
15 S GRADY WAY STE 249
RENTON, WA 98057-3209
Phone number: 253-391-3913
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