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1245976141
ELIJAH LUCHMUN
VANCOUVER, WA
NPI
1245976141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
ELIJAH LUCHMUN
5197 NW LOWER RIVER RD.
VANCOUVER, WA 98660
Phone number: 360-747-1308
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Mailing Address
ELIJAH LUCHMUN
146 DECATUR DR
KELSO, WA 98626-1890
Phone number: 360-747-1308
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