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1295041804
JEFFREY CHARLES WILLSON
BELLINGHAM, WA
NPI
1295041804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: WA 00022139)
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
-- JEFFREY CHARLES WILLSON LMP
1633 BIRCHWOOD AVE
BELLINGHAM, WA 98225-9220
Phone number: 360-715-8722
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Mailing Address
-- JEFFREY CHARLES WILLSON LMP
2501 COLLEGE AVE
BELLINGHAM, WA 98225-8321
Phone number:
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