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1104492966
JACOB THOMAS BATY
SPOKANE, WA
NPI
1104492966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61186769)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
JACOB THOMAS BATY
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-559-3100
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Mailing Address
JACOB THOMAS BATY
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-559-3100
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