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1134779952
KORI AMBROSE
TACOMA, WA
NPI
1134779952
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Former Name
BRITNEY LOUISE AMBROSE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-09-13
Last Update Date
2019-09-13
Business Address
KORI AMBROSE
610 YAKIMA AVE
TACOMA, WA 98405-4851
Phone number: 253-396-5230
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Mailing Address
KORI AMBROSE
1305 TACOMA AVE S STE 201
TACOMA, WA 98402-1903
Phone number: 253-396-5230
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