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1174045876
DAVID GRANT NOGLE
TACOMA, WA
NPI
1174045876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA cp60443801)
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
Mr. DAVID GRANT NOGLE CDP
2121 S 19TH ST
TACOMA, WA 98405-2922
Phone number: 253-396-1634
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Mailing Address
Mr. DAVID GRANT NOGLE CDP
2121 S 19TH ST
TACOMA, WA 98405-2922
Phone number:
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