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1336381615
JONATHAN DOUGLAS
YAKIMA, WA
NPI
1336381615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60173532)
Enumeration Date
2009-04-01
Last Update Date
2011-03-17
Business Address
-- JONATHAN DOUGLAS
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- JONATHAN DOUGLAS
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4018
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