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1114613205
ALFONSO RIVAS
VANCOUVER, WA
NPI
1114613205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
ALFONSO RIVAS AAC
6221 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7206
Phone number: 360-831-0908
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Mailing Address
ALFONSO RIVAS AAC
6221 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7206
Phone number: 360-831-0908
Copy
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