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1205301017
KODEE PAUL CHASE
LONGVIEW, WA
NPI
1205301017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61003691)
Enumeration Date
2018-10-08
Last Update Date
2023-09-18
Business Address
KODEE PAUL CHASE AAC
748 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-200-5419
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Mailing Address
KODEE PAUL CHASE AAC
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419
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