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1285326587
EDWARD KENNETH PEREZ
PORT ANGELES, WA
NPI
1285326587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61428564)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
EDWARD KENNETH PEREZ
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 253-391-8022
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Mailing Address
EDWARD KENNETH PEREZ
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 253-391-8022
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