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1316488109
JACKIE DAVIS
LONGVIEW, WA
NPI
1316488109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-03-14
Last Update Date
2019-11-08
Business Address
JACKIE DAVIS
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
JACKIE DAVIS
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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