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1134890015
NICHOLAS DEAN VINCENT
BELLINGHAM, WA
NPI
1134890015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61202589)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
NICHOLAS DEAN VINCENT SUDPT
4120 MERIDIAN ST STE 220
BELLINGHAM, WA 98226-5575
Phone number: 360-922-3030
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Mailing Address
NICHOLAS DEAN VINCENT SUDPT
PO BOX 1678
VANCOUVER, WA 98668-1678
Phone number:
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