LORA LEE MATTOX

CENTRALIA, WA
NPI1215400155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: WA  CG60864636)
Enumeration Date2019-01-03
Last Update Date2019-01-03
Business Address
LORA LEE MATTOX CPC
1723 KRESKY AVE
CENTRALIA, WA 98531-8985
Phone number: 360-559-6201
Mailing Address
LORA LEE MATTOX CPC
1723 KRESKY AVE
CENTRALIA, WA 98531-8985
Phone number: 360-559-6201
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