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1164991972
OSCAR MANUAL MEZA-VALLE
PUYALLUP, WA
NPI
1164991972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG60889560)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
OSCAR MANUAL MEZA-VALLE
12812 101ST AVENUE CT E
PUYALLUP, WA 98373-9101
Phone number: 253-864-4770
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Mailing Address
OSCAR MANUAL MEZA-VALLE
12812 101ST AVENUE CT E
PUYALLUP, WA 98373-9101
Phone number: 253-864-4770
Copy
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