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1205471935
JORGE LUIS PACHECO
YAKIMA, WA
NPI
1205471935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA co61015379)
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
Mr. JORGE LUIS PACHECO co 61015379
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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Mailing Address
Mr. JORGE LUIS PACHECO co 61015379
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
Copy
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