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1306455258
JESSICA LEE
PORT ANGELES, WA
NPI
1306455258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: WA CO61044127)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
JESSICA LEE SUDPT
3430 E HIGHWAY 101 STE 3
PORT ANGELES, WA 98362-9069
Phone number: 360-452-4062
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Mailing Address
JESSICA LEE SUDPT
PO BOX 478
PORT ANGELES, WA 98362-0072
Phone number: 360-452-4062
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