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1164907044
WILLIAM WESLEY BOMBER
BURIEN, WA
NPI
1164907044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60556983)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
WILLIAM WESLEY BOMBER
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-465-0039
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Mailing Address
WILLIAM WESLEY BOMBER
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6910
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