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1336603695
DEREK LEE GREUL
PORT ANGELES, WA
NPI
1336603695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60912368)
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
Mr. DEREK LEE GREUL CO60912368
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
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Mailing Address
Mr. DEREK LEE GREUL CO60912368
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
Copy
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