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1215208046
NOEMI AMEZCUA
MOSES LAKE, WA
NPI
1215208046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00006312)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- NOEMI AMEZCUA CDP
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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Mailing Address
-- NOEMI AMEZCUA CDP
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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