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1114296514
JEFFREY DALE BEAVER
BELLINGHAM, WA
NPI
1114296514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- JEFFREY DALE BEAVER
1133 RAILROAD AVE
BELLINGHAM, WA 98225-5055
Phone number: 360-676-2164
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Mailing Address
-- JEFFREY DALE BEAVER
1133 RAILROAD AVE
BELLINGHAM, WA 98225-5055
Phone number: 360-676-2164
Copy
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