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1356124838
MYELIN CHOICE
LONGVIEW, WA
NPI
1356124838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WA RN61269530)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
MYELIN CHOICE
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
MYELIN CHOICE
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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