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1215774229
FOURTH PLAIN FORWARD
VANCOUVER, WA
NPI
1215774229
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Entity Type
Organization
Authorized Contact
WIL FUENTES
Program Manager
971-570-4999
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
FOURTH PLAIN FORWARD
5107 E 4TH PLAIN BLVD STE 111
VANCOUVER, WA 98661-8505
Phone number: 971-570-4999
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Mailing Address
FOURTH PLAIN FORWARD
5107 E 4TH PLAIN BLVD STE 111
VANCOUVER, WA 98661-8505
Phone number: 971-570-4999
Copy
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