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1144952383
JUNIOR EDMONDSON
SPOKANE, WA
NPI
1144952383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
JUNIOR EDMONDSON Youth Mentor
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208-4739
Phone number: 509-559-3100
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Mailing Address
JUNIOR EDMONDSON Youth Mentor
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-559-3100
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