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1184809071
LARRY H HENDRICKS
TACOMA, WA
NPI
1184809071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA RC00050321)
Enumeration Date
2008-01-09
Last Update Date
2008-01-09
Business Address
-- LARRY H HENDRICKS
1222 S UNION AVE
TACOMA, WA 98405-1922
Phone number: 253-396-5166
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Mailing Address
-- LARRY H HENDRICKS
1222 S UNION AVE
TACOMA, WA 98405-1922
Phone number: 253-396-5166
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