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1215297213
ERNIE GENO RANSOM
LAKEWOOD, WA
NPI
1215297213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60566667)
Enumeration Date
2012-05-23
Last Update Date
2018-01-22
Business Address
ERNIE GENO RANSOM CDP
8811 S TACOMA WAY STE 106
LAKEWOOD, WA 98499-4595
Phone number: 253-302-3826
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Mailing Address
ERNIE GENO RANSOM CDP
8811 S TACOMA WAY STE 106
LAKEWOOD, WA 98499-4595
Phone number: 253-302-3826
Copy
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