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1104001221
CHARLES GREENE
TACOMA, WA
NPI
1104001221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
-- CHARLES GREENE
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5800
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Mailing Address
-- CHARLES GREENE
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5800
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