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1104059385
LAREE R BORN
ELLENSBURG, WA
NPI
1104059385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60153325)
Enumeration Date
2009-09-03
Last Update Date
2011-03-14
Business Address
-- LAREE R BORN
220 W 4TH AVE
ELLENSBURG, WA 98926-3060
Phone number: 509-925-9861
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Mailing Address
-- LAREE R BORN
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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