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1174203814
DALLAS CAMPOCHIARO
LONGVIEW, WA
NPI
1174203814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC61274926)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
DALLAS CAMPOCHIARO
1500 3RD AVE
LONGVIEW, WA 98632-3229
Phone number: 360-432-8800
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Mailing Address
DALLAS CAMPOCHIARO
119 WILLIAMS AVE
KELSO, WA 98626-4028
Phone number:
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