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1215576152
ROGER JONATHAN GAULT
TACOMA, WA
NPI
1215576152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2019-12-23
Last Update Date
2020-11-17
Business Address
ROGER JONATHAN GAULT
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 253-396-5827
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Mailing Address
ROGER JONATHAN GAULT
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 253-396-5827
Copy
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