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1184259764
DARREL W JERNIGAN
SEATTLE, WA
NPI
1184259764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61020545)
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
DARREL W JERNIGAN cg 61020545
1216 PINE ST STE 300
SEATTLE, WA 98101-1959
Phone number: 206-323-1768
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Mailing Address
DARREL W JERNIGAN cg 61020545
1216 PINE ST STE 300
SEATTLE, WA 98101-1959
Phone number: 206-323-1768
Copy
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