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1184192403
JOANNA O LICON
KENNEWICK, WA
NPI
1184192403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
JOANNA O LICON
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
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Mailing Address
JOANNA O LICON
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
Copy
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