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1164973988
GINA DEANNE HOGGAN
VANCOUVER, WA
NPI
1164973988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60688599)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- GINA DEANNE HOGGAN CDPT
1601 E FOURTH PLAIN BLVD BLDG #17, STE. A212
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
-- GINA DEANNE HOGGAN CDPT
PO BOX 1678
VANCOUVER, WA 98668-1678
Phone number: 360-397-8246
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