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1124524376
GLENN ALSTON
LAKEWOOD, WA
NPI
1124524376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60445670)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
Mr. GLENN ALSTON
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
Mr. GLENN ALSTON
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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