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1225511306
JACOB MILLER
LONGVIEW, WA
NPI
1225511306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 60890150)
Enumeration Date
2018-09-13
Last Update Date
2019-08-14
Business Address
JACOB MILLER
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
JACOB MILLER
PO BOX 1847
LONGVIEW, WA 98632
Phone number: 360-423-0203
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