GORDON LEWIS BORDEAUX

OMAK, WA
NPI1285804328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00003406)
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
Mr. GORDON LEWIS BORDEAUX
1007 KOALA AVE
OMAK, WA 98841-9247
Phone number: 509-826-6191
Mailing Address
Mr. GORDON LEWIS BORDEAUX
1007 KOALA DRIVE
OMAK, WA 98841
Phone number: 509-826-6191
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