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1336829845
IDUAR DEREIX CALONGE
TUMWATER, WA
NPI
1336829845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG61421303)
Enumeration Date
2023-07-19
Last Update Date
2023-07-25
Business Address
IDUAR DEREIX CALONGE
6334 LITTLEROCK RD SW
TUMWATER, WA 98512-7332
Phone number: 360-704-7590
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Mailing Address
IDUAR DEREIX CALONGE
6334 LITTLEROCK RD SW
TUMWATER, WA 98512-7332
Phone number: 360-704-7590
Copy
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