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1104517820
JABARI HEAVENS
PASCO, WA
NPI
1104517820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
JABARI HEAVENS
5710 BEDFORD ST
PASCO, WA 99301-8214
Phone number: 509-735-6446
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Mailing Address
JABARI HEAVENS
5710 BEDFORD ST
PASCO, WA 99301-8214
Phone number: 509-735-6446
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